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DEFIANCE HOSPITAL INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
DEFIANCE HOSPITAL INC (EIN 34-4446484)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-12
IRS object ID
201603179349300105
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-12T00:24:23-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE STE 4200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN344446484EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DEFIANCE HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDEFIBusinessNameControlTxt
Phone4197834493PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 RALSTON AVEAddressLine1Txt
CityDEFIANCECityNm
State AbbreviationOHStateAbbreviationCd
ZIP435122495ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL P BROWNINGPersonNm
Person TitleTREASURERPersonTitleTxt
Phone4197834493PhoneNum
Signature2016-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHAWNA M JIMENEZPreparerPersonNm
PTINP01222873PTIN
Phone3174648600PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PROMEDICA DEFIANCE REGIONAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMICHAEL P BROWNINGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 RICHARDS ROADAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43607ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$238,983,403GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PROMEDICA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionDEFIANCE HOSPITAL, INC. IS A CRITICAL ACCESS HOSPITAL THAT PROVIDES HEALTHCARE SERVICES TO THE GENERAL PUBLIC, INCLUDING THE SURROUNDING COMMUNITIES OF DEFIANCE, PAULDING, HENRY, PUTNAM, WILLIAMS AND FULTON COUNTIES IN OHIO.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee388TotalEmployeeCnt
Total Volunteers142TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$230,955PYContributionsGrantsAmt
CY Contributions Grants$215,269CYContributionsGrantsAmt
PY Program Service Revenue$61,252,367PYProgramServiceRevenueAmt
CY Program Service Revenue$61,108,932CYProgramServiceRevenueAmt
PY Investment Income$10,696,858PYInvestmentIncomeAmt
CY Investment Income$8,766,433CYInvestmentIncomeAmt
PY Other Revenue$458,400PYOtherRevenueAmt
CY Other Revenue$352,095CYOtherRevenueAmt
PY Total Revenue$72,638,580PYTotalRevenueAmt
CY Total Revenue$70,442,729CYTotalRevenueAmt
PY Grants And Similar Paid$5,202,392PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,932,682CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$23,007,348PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,710,235CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$29,134,145PYOtherExpensesAmt
CY Other Expenses$30,062,798CYOtherExpensesAmt
PY Total Expenses$57,343,885PYTotalExpensesAmt
CY Total Expenses$57,705,715CYTotalExpensesAmt
PY Revenues Less Expenses$15,294,695PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$12,737,014CYRevenuesLessExpensesAmt
Total Assets BOY$241,181,698TotalAssetsBOYAmt
Total Assets EOY$242,454,011TotalAssetsEOYAmt
Total Liabilities BOY$47,014,225TotalLiabilitiesBOYAmt
Total Liabilities EOY$45,823,448TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$194,167,473NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$196,630,563NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION IS TO BE THE LEADER IN PROVIDING QUALITY HEALTHCARE SERVICES THAT MEET THE NEEDS AND EXCEED THE EXPECTATIONS OF OUR CUSTOMERS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$42,139,186ExpenseAmt
Grant$3,932,682GrantAmt
Revenue$60,687,744RevenueAmt
DescDEFIANCE HOSPITAL, INC. IS AN ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE GENERAL PUBLIC. - SEE SCHEDULE O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,418,118ExpenseAmt
DescCONSISTENT WITH OUR MISSION, DEFIANCE HOSPITAL, INC. PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY. - SEE SCHEDULE O.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$7,402ExpenseAmt
DescCONSISTENT WITH OUR MISSION, DEFIANCE HOSPITAL, INC. PROVIDES A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES AND CASH AND IN-KIND CONTRIBUTIONS. - SEE SCHEDULE O.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$46,564,706TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document42IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee388EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRIAN HANSENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4198918505PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15901 MONCLOVA RDAddressLine1Txt
CityMAUMEECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43537ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANDREW D SHINDLER
TRUSTEE1.001.00Yes (X)$0$0$0
DANIEL K CASSAVAR MD
TRUSTEE1.0042.50Yes (X)$0$745,426$41,254
DARRIN ARQUETTE
PRESIDENT, EX OFFICIO1.0041.50Yes (X)$0$182,351$37,552Yes (X)
DEANNE S HELD
TRUSTEE1.001.00Yes (X)$0$0$0
DONALD A FEE SR
TRUSTEE1.001.00Yes (X)$0$0$0
IAN A WEBER
TRUSTEE1.001.00Yes (X)$0$0$0
JULIE K YAROCH DO
PRES, EX OFFICIO (THRU 10/15)1.0042.00Yes (X)$0$224,191$34,283Yes (X)
KEVIN C WEBB PHD
EX OFFICIO1.0052.00Yes (X)$0$658,740$115,301
LAURA W KLINE
EX OFFICIO1.001.00Yes (X)$0$0$0
MARK A KLEIN
CHAIRPERSON1.002.00Yes (X)$0$0$0Yes (X)
RICHARD E WEAVER
TRUSTEE1.001.00Yes (X)$0$0$0
ROSEMARY K REITER MD
TRUSTEE1.0041.00Yes (X)$0$280,944$40,765
SAMER S OBRI MD
TRUSTEE1.0041.00Yes (X)$0$540,191$34,304
SONJA J DELANEY
TRUSTEE1.001.00Yes (X)$0$0$0
STEPHANIE M SKYLAR
TRUSTEE1.001.00Yes (X)$0$0$0
STEVEN VANDEMARK
TRUSTEE1.001.00Yes (X)$0$0$0
THOMAS M CALLAN
TRUSTEE1.001.00Yes (X)$0$0$0
WILLIAM J SMALL
TRUSTEE1.001.00Yes (X)$0$0$0
ALAN M SATTLER
TREASURER0.5051.50$0$588,758$120,076Yes (X)
JEFFREY C KUHN
SECRETARY0.5051.50$0$592,348$112,234Yes (X)
GARY AKENBERGER
SR. VP FINANCE, PHS0.5045.00$0$415,589$89,075Yes (X)
CHRISTINE HOFFMAN
PHARMACIST40.000.00$122,945$0$25,768Yes (X)
KARA BALASH
PHARMACIST40.000.00$112,874$0$27,637Yes (X)
TRINA BUETTNER
DIRECTOR, PHARMACY40.000.00$119,935$0$16,443Yes (X)
TRISHA BALDWIN
ADMINISTRATIVE SUPERVISOR40.000.00$105,307$0$26,206Yes (X)
GARY M CATES
FORMER OFFICER0.0042.00$0$354,496$73,638Yes (X)
KATHLEEN S HANLEY
FORMER OFFICER0.0041.00$0$696,193$166,986Yes (X)
KATHLEEN BOFF
FORMER KEY EMPLOYEE0.000.00$0$195,224$4,613Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$461,061TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,474,451TotReportableCompRltdOrgAmt
Total Other Compensation$966,135TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WARD CONSTRUCTION CO
385 OAK STLEIPSICOH458561358GENERAL CONSTRUCTION$587,099
OMNI HEALTH SERVICES LTD
14848 ROACHTON RDPERRYSBURGOH44094MEDICAL SERVICES$527,285
TOLEDO PAIN SERVICES
7053 W CENTRAL AVETOLEDOOH43617MEDICAL SERVICES$345,014
MEL LANZER CO
2266 N SCOTT STNAPOLEONOH43535GENERAL CONSTRUCTION$308,599
CROTHALL LAUNDRY SERVICES
1010 E HIGH STLIMAOH458042822LINEN SERVICES$252,701
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Related Organizations$37,946RelatedOrganizationsAmt
Government Grants$173,823GovernmentGrantsAmt
All Other Contributions$3,500AllOtherContributionsAmt
Noncash Contributions$414NoncashContributionsAmt
Total Contributions$215,269TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NET PATIENT SERVICES622110$60,467,881$60,467,881
AFFIL. ORG. RENT REV.531120$641,051$641,051
FieldValueIRS element (for citing)
Total Program Service Revenue$61,108,932TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,721,945TotalRevenueColumnAmt
Exclusion$3,721,945ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$20,973RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$55,612RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$34,639RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$34,639TotalRevenueColumnAmt
Exclusion-$34,639ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$173,382,850SecuritiesAmt
Other$146,700OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$168,421,153SecuritiesAmt
Other$63,909OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,961,697SecuritiesAmt
Other$82,791OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,044,488TotalRevenueColumnAmt
Exclusion$5,044,488ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA SALES722514$166,871$166,871
EMERGENCY TRANSPONDERS900099$115,901$115,901
MEDICAL RECORDS900099$13,411$13,411

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$90,551TotalRevenueColumnAmt
Related Or Exempt Func Income$90,551RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$386,734OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$70,442,729TotalRevenueColumnAmt
Related Or Exempt Func Income$60,687,744RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$9,539,716ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,932,682TotalAmt
Program Services$3,932,682ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$18,307,249TotalAmt
Program Services$14,781,771ProgramServicesAmt
Management And General$3,525,478ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$990,867TotalAmt
Program Services$797,697ProgramServicesAmt
Management And General$193,170ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,928,874TotalAmt
Program Services$2,429,472ProgramServicesAmt
Management And General$499,402ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,483,245TotalAmt
Program Services$1,124,761ProgramServicesAmt
Management And General$358,484ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$78,079TotalAmt
Management And General$78,079ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$60,663TotalAmt
Management And General$60,663ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$73,973TotalAmt
Management And General$73,973ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$3,944TotalAmt
Management And General$3,944ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$678,171TotalAmt
Management And General$678,171ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,814,372TotalAmt
Program Services$2,823,686ProgramServicesAmt
Management And General$990,686ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$155,192TotalAmt
Program Services$100,755ProgramServicesAmt
Management And General$54,437ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$635,333TotalAmt
Program Services$354,219ProgramServicesAmt
Management And General$281,114ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,821,898TotalAmt
Program Services$1,466,719ProgramServicesAmt
Management And General$355,179ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,129,770TotalAmt
Program Services$367,644ProgramServicesAmt
Management And General$762,126ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$169,291TotalAmt
Program Services$122,327ProgramServicesAmt
Management And General$46,964ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,591,524TotalAmt
Program Services$1,591,524ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,367,356TotalAmt
Program Services$3,568,226ProgramServicesAmt
Management And General$799,130ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$495,260TotalAmt
Program Services$398,709ProgramServicesAmt
Management And General$96,551ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
INTERCOMPANY SERVICES$5,787,038$4,246,815$1,540,223
MEDICAL SUPPLIES$3,978,554$3,791,373$187,181
DRUGS$3,546,217$3,542,484$3,733
LICENSES & FEES$745,309$735,574$9,735

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$930,854TotalAmt
Program Services$388,268ProgramServicesAmt
Management And General$542,586ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$57,705,715TotalAmt
Program Services$46,564,706ProgramServicesAmt
Management And General$11,141,009ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,815,306BOYAmt
EOY$1,957,751EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$426,285BOYAmt
EOY$426,285EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,551,700BOYAmt
EOY$10,118,366EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$600,388BOYAmt
EOY$624,265EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$197,720BOYAmt
EOY$174,886EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$80,184,296LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$51,393,055LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$28,469,949BOYAmt
EOY$28,791,241EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$194,274,867BOYAmt
EOY$197,007,774EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$285,315BOYAmt
EOY$283,197EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,560,168BOYAmt
EOY$3,070,246EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$241,181,698BOYAmt
EOY$242,454,011EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,653,895BOYAmt
EOY$3,584,807EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$416,184EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$43,360,330BOYAmt
EOY$41,822,457EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,014,225BOYAmt
EOY$45,823,448EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$192,699,431BOYAmt
EOY$194,476,090EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,301,815BOYAmt
EOY$1,986,246EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$166,227BOYAmt
EOY$168,227EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$194,167,473BOYAmt
EOY$196,630,563EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$241,181,698BOYAmt
EOY$242,454,011EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$12,737,014ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$10,951,581NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$677,657OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$3,944OtherActivitiesAmt
Total Lobbying Expenditures$3,944TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationDEFIANCE HOSPITAL, INC. PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE OHIO HOSPITAL ASSOCIATION - A PORTION OF WHICH IS ALLOCABLE TO LOBBYING BY THE ASSOCIATIONS.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$166,227BeginningYearBalanceAmt
Contributions$2,000ContributionsAmt
End Year Balance$168,227EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$166,227BeginningYearBalanceAmt
End Year Balance$166,227EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$166,227ContributionsAmt
End Year Balance$166,227EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,320,791OtherCostOrOtherBasisAmt
Book Value$3,320,791BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,583,967OtherCostOrOtherBasisAmt
Depreciation$35,690,474DepreciationAmt
Book Value$16,893,493BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$450,290OtherCostOrOtherBasisAmt
Depreciation$347,480DepreciationAmt
Book Value$102,810BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,388,896OtherCostOrOtherBasisAmt
Depreciation$12,394,589DepreciationAmt
Book Value$5,994,307BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,440,352OtherCostOrOtherBasisAmt
Depreciation$2,960,512DepreciationAmt
Book Value$2,479,840BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$28,791,241TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DUE TO AFFILIATES$1,777,595
ESTIMATED THIRD PARTY SETTLEMENTS PAYABLE$2,030,968
INTEREST RATE SWAP$467,696
ASBESTOS REMEDIATION$18,106
INTERCOMPANY DEBT TO THE TOLEDO HOSPITAL$37,528,092
FieldValueIRS element (for citing)
Total Liability$41,822,457TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ENDOWMENT FUNDS ARE INVESTED TO GENERATE INCOME TO BE USED TO SUPPORT DEFIANCE HOSPITAL, INC. CONSISTENT WITH DONOR INTENT.
PART X, LINE 2:DEFIANCE HOSPITAL, INC. IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES (PHS). THE FOLLOWING REFLECTS PHS'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740. EXCEPT AS NOTED BELOW, PHS DID NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2015 AND 2014. FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, A TAXABLE SUBSIDIARY OF PHS RECOGNIZED A LIABILITY FOR UNCERTAIN TAX POSITIONS OF $0 AND $9,027,000, RESPECTIVELY. DEFIANCE HOSPITAL, INC. DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2015 AND 2014.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$60,664TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$60,664NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,265,759TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,910,688DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,355,071NetCommunityBenefitExpnsAmt
Total Expense0.07550TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,122TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,739DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,383NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,330,545TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,912,427DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,418,118NetCommunityBenefitExpnsAmt
Total Expense0.07660TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,462TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,462NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,940TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,940NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,402TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,402NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,337,947TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,912,427DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,425,520NetCommunityBenefitExpnsAmt
Total Expense0.07680TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,691,362BadDebtExpenseAmt
Bad Debt Expense Attributable$413,724BadDebtExpenseAttributableAmt
Reimbursed By Medicare$12,010,777ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$12,354,616CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$343,839MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DEFIANCE HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 RALSTON AVENUEAddressLine1Txt
CityDEFIANCECityNm
State AbbreviationOHStateAbbreviationCd
ZIP435122495ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.PROMEDICA.ORGWebsiteAddressTxt
State License1160StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1DEFIANCE HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.PROMEDICA.ORG/CHNAOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DEFIANCE HOSPITAL, INC.PART V, SECTION B, LINE 5: DEFIANCE HOSPITAL, INC. (THE "HOSPITAL FACILITY") TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. THESE PERSONS INCLUDED STAFF OF DEFIANCE COUNTY HEALTH DISTRICT, DEFIANCE CITY SCHOOLS, AND VARIOUS LOCAL HOSPITAL STAFF INVOLVED IN COMMUNITY HEALTH PROGRAMMING. THE HOSPITAL FACILITY CONSULTED WITH THESE PERSONS THROUGH MEETINGS AND ALSO VIA EMAIL CORRESPONDENCE. ADDITIONALLY, THE HOSPITAL FACILITY CONSULTED WITH OTHER ORGANIZATIONS AND OTHER GROUPS IN CONDUCTING ITS MOST RECENT CHNA. THESE CONSULTING INDIVIDUALS REPRESENTED THE FOLLOWING ORGANIZATIONS:- AMERICAN CANCER SOCIETY - CENTER FOR CHILD & FAMILY ADVOCACY - DEFIANCE CITY COUNCIL- DEFIANCE COLLEGE- COMMUNITY MEMORIAL HOSPITAL - DEFIANCE DEVELOPMENT AND VISITORS BUREAU - DEFIANCE CITY ADMINISTRATION - DEFIANCE CITY SCHOOLS - DEFIANCE COUNTY COMMISSIONER OFFICE - DEFIANCE COUNTY HEALTH DISTRICT - DEFIANCE COUNTY JUVENILE COURT - FAMILY & CHILDREN FIRST COUNCIL - FOUR COUNTY ADAMHS (ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES) BOARD - FOUR COUNTY FAMILY CENTER - HELP ME GROW - HICKSVILLE COMMUNITY CENTER - HICKSVILLE VILLAGE OFFICE - LAW ENFORCEMENT - MAUMEE VALLEY GUIDANCE CENTER - MERCY DEFIANCE CLINIC/HOSPITAL - MIGRANT HEALTH PROMOTION - MINISTERIAL ASSOCIATION - UNITED WAY - YMCATHIS STRATEGIC PLANNING PROCESS WAS FACILITATED BY THE HOSPITAL COUNCIL OF NORTHWEST OHIO. DEFIANCE HOSPITAL, INC. WAS REPRESENTED IN THE DEVELOPMENT OF THE COMMUNITY-WIDE COMMUNITY BENEFIT PLAN FOR DEFIANCE COUNTY.
DEFIANCE HOSPITAL, INC.PART V, SECTION B, LINE 16I: THE HOSPITAL FACILITY WAS IN THE PROCESS OF REVISING ITS FINANCIAL ASSISTANCE POLICY DURING TAX YEAR 2015 AND UPDATING ITS PROCEDURES. AS OF APRIL 2016, THE HOSPITAL FACILITY'S POLICIES AND PROCEDURES WERE REVISED TO INCLUDE THE FOLLOWING MEASURES TO PUBLICIZE ITS FINANCIAL ASSISTANCE POLICY: - THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.PROMEDICA.ORG/FINANCIALASSISTANCE- THE FAP WAS WIDELY AVAILABLE UPON REQUEST AND WITHOUT CHARGE (IN PUBLIC LOCATIONS IN THE HOSPITAL FACILITY AND BY MAIL)- NOTICE OF AVAILABILITY OF THE FAP WAS CONSPICUOUSLY DISPLAYED THROUGHOUT THE HOSPITAL FACILITY.
DEFIANCE HOSPITAL, INC.PART V, SECTION B, LINE 20E: IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION (WHICH USES PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC INFORMATION, CREDIT HISTORY, ETC.) MAY BE MADE IN ORDER TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE.
DEFIANCE HOSPITAL, INC.PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY USED THE LOOK-BACK METHOD WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THE LOOK-BACK METHOD IS BASED ON PAST CLAIMS PAID IN FULL TO THE HOSPITAL BY MEDICARE-FEE-FOR-SERVICE TOGETHER WITH ALL PRIVATE HEALTH INSURERS PAYING CLAIMS TO THE HOSPITAL FACILITY OVER A SPECIFIED 12-MONTH PERIOD, DIVIDED BY THE GROSS CHARGES FOR THOSE CLAIMS.
DEFIANCE HOSPITAL, INC.:PART V, SECTION B, LINE 11: DEFIANCE HOSPITAL, INC. WILL SPECIFICALLY IMPLEMENT PROGRAMS TO ADDRESS THE FOLLOWING HEALTH NEEDS, LISTED IN ORDER OF PRIORITY: - YOUTH MENTAL HEALTH- CANCER - OBESITY/HUNGER- ACCESS TO CARE/TRANSPORTATION- COMMUNITY HEALTH PARTNERS FUNDINGACTIONS TAKEN DURING 2015 TO ADDRESS THE ABOVE IDENTIFIED NEEDS ARE INCLUDED BELOW:HEALTH NEED IDENTIFIED: YOUTH MENTAL HEALTHSTRATEGY #1 - IN COORDINATION WITH THE SUICIDE PREVENTION COUNCIL AND OTHER AGENCIES, HELP RAISE SUICIDE AWARENESS. SPONSOR EDUCATIONAL MATERIALS FOR THE ANNUAL SUICIDE PREVENTION AWARENESS WALK IN SEPTEMBER. WORK WITH THE AD HOC COMMUNITY PRAYER BREAKFAST GROUP TO ADDRESS THE TOPIC OF YOUTH SUICIDE PREVENTION AND AWARENESS AT THE ANNUAL MAY EVENT.ACTIONS TAKEN:- THE HOSPITAL SPONSORED MATERIALS FOR THE ANNUAL SUICIDE PREVENTION AWARENESS WALK IN SEPTEMBER 2015 (ONE STEP AT A TIME). 2 VOLUNTEERS HAD A TABLE AT THE WALK TO DISTRIBUTE THE MATERIALS. 249 WALKERS/RUNNERS FROM THE COMMUNITY PARTICIPATED. IT WAS ESTIMATED THAT 100 FLYERS WERE DISTRIBUTED.STRATEGY #2 - IN COORDINATION WITH THE DEFIANCE COUNTY UNITED WAY, SEEK NEW WAYS TO PARTNER WITH LOCAL SCHOOLS AND AGENCIES TO IMPACT THE YOUTH MENTAL HEALTH ISSUE. ESTABLISH A WORKING GROUP AND HOST ONGOING DIALOGUE MEETINGS WITH LOCAL SCHOOL REPRESENTATIVES AND RELATED AGENCIES.ACTIONS TAKEN:- DEFIANCE HAD ORIGINALLY HOSTED THE MEETINGS IN OUR MEETING ROOMS AND HELPED ORGANIZE MEETINGS WITH SCHOOL OFFICIALS. TWO OF THE VOLUNTEERS MADE THE DECISION TO MEET AT THE SCHOOLS ONE-ON-ONE, THEREFORE DEFIANCE HOSPITAL, INC. DISCONTINUED HOSTING THE MEETINGS AND WERE NOT INCLUDED IN ANY FURTHER COMMUNICATIONS REGARDING THE VOLUNTEER/SCHOOL ACTIVITIES, BUT CONTINUE TO BE A PARTNER IN MANY SCHOOL ACTIVITIES, AS REQUESTED.STRATEGY #3 - EXPLORE MEANS FOR EXPANDING THE SCREENING OF COUNTY YOUTH TO FLAG THOSE AT RISK FOR MENTAL HEALTH AND/OR ALCOHOL/DRUG/SUBSTANCE ABUSE. EDUCATE LOCAL PHYSICIANS ABOUT THE USE OF AN IN OFFICE MENTAL HEALTH SCREENING TOOL FOR YOUTH. MEET WITH LOCAL SCHOOLS AND PHYSICIANS TO EXPLORE USE OF THE SCREENING TOOL DURING SPORTS PHYSICALS. RETAIN ADOLESCENT PSYCHIATRIC SERVICES, INCLUDING RETENTION OF PHYSICIAN PROVIDER AND REPLACEMENT OF VACANT SOCIAL WORKER/THERAPIST. ALSO EXPLORE MEANS FOR EXPANDING THE SERVICES OF THIS HOSPITAL BASED PRACTICE.ACTIONS TAKEN:- ALL FOUR (4) OF THE FAMILY PRACTICE PHYSICIANS AND ALL THREE (3) OF THE INTERNAL MEDICINE PHYSICIANS CONTINUE TO PROVIDE THE PHQ-9 QUESTIONNAIRE TO PATIENTS DURING THEIR SPORTS PHYSICALS.- DR. BRENDA BRADY SEES CLIENTS 18YRS. AND OLDER. LUCY MORENO, LISW-S, SEES CHILDREN - ADULTS STARTING AT AGE 5. THE PARTIAL HOSPITALIZATION PROGRAM STARTED HERE AT DEFIANCE HOSPITAL, INC. ON MARCH 1, 2016. THE PROGRAM IS DIRECTED TOWARDS ADULTS, HOWEVER THERE IS DISCUSSION IN REGARDS TO ADDING AN ADOLESCENT PROGRAM IN THE FUTURE.HEALTH NEED IDENTIFIED: CANCERSTRATEGY #1 - WORK WITH LOCAL AGENCIES AND ORGANIZATIONS TO CONDUCT EDUCATION AND OUTREACH ACTIVITIES. SPONSOR AND PARTICIPATE IN THE ANNUAL BREAST CANCER AWARENESS LUNCHEON. ASSIST IN, AND HOST, THE ANNUAL BREAST CANCER AWARENESS WALK/RUN.ACTIONS TAKEN:- SPONSORED AND ATTENDED THE ANNUAL BREAST CANCER AWARENESS LUNCHEON WITH ZONTA FOUNDATION WHICH IS DEDICATED TO IMPROVING WOMEN'S HEALTH IN NORTHWEST OHIO. - THERE WAS NOT A RUN/WALK IN 2015; PER OUR ZONTA GROUP CONTACT THE PROCEEDS FROM THE PREVIOUS WALK/RUN EVENT DID NOT OUTWEIGH THE INVESTMENTS BEING MADE, THEREFORE THE FOCUS IN 2015 WAS TO MAKE THE ZONTA LUNCHEON A "BIGGER AND BETTER" EVENT AND RAISE MORE MONEY THROUGH THAT EVENT.STRATEGY #2 - PROVIDE FREE OR REDUCED MAMMOGRAM SERVICES TO UNINSURED OR UNDERINSURED PATIENTS. CONDUCT AN ANNUAL DISCOUNT MAMMOGRAM PROGRAM IN OCTOBER. CONDUCT A SUSAN G. KOMEN MAMMOGRAM PROGRAM.ACTIONS TAKEN:- DEFIANCE HOSPITAL, INC. CONDUCTED THEIR ANNUAL DISCOUNT MAMMOGRAM PROGRAM. IT IS ESTIMATED THAT 5 DISCOUNTED MAMMOGRAMS WERE PROVIDED IN 2015.- CONDUCTED A SUSAN B. KOMEN FUNDED MAMMOGRAM PROGRAM. PROVIDED 25 MAMMOGRAM SCREENINGS UNDER SUSAN B. KOMEN MAMMOGRAM GRANT PROGRAM. STRATEGY #3 - EXPLORE THE EXPANSION OF CANCER-RELATED SERVICES AT DEFIANCE HOSPITAL, INC. PREPARE A BUSINESS PLAN AND CAPITAL REQUEST FOR SYSTEM FUNDING CONSIDERATION FOR AN EXPANDED CANCER CENTER ON THE HOSPITAL CAMPUS, INCLUDING RADIATION SERVICES.ACTIONS TAKEN: - IN 2015, THE CANCER CENTER PROJECT WAS NOT REVISITED AS IT WAS NOT DETERMINED TO BE A DEMONSTRATED NEED TO IMPROVE ACCESS TO THESE SERVICES AT THIS TIME. HEALTH NEED IDENTIFIED: OBESITY/HUNGERSTRATEGY #1 - ASSIST IN THE CONTINUATION OF THE COUNTY'S BACKPACK BUDDY WEEKEND FOOD PROGRAM. SUPPORT FUNDING FOR THE PROGRAM THROUGH AN EMPLOYEE UNITED WAY DONOR CAMPAIGN, AND ASSIST WITH APPLICATION TO THE PROMEDICA ADVOCACY FUND FOR ADDITIONAL GRANT FUNDING. ARRANGE FOR HOSPITAL EMPLOYEES TO PARTICIPATE IN THE WEEKLY ASSEMBLY OF BACKPACKS.ACTIONS TAKEN:- 612 CHILDREN WERE FED AND 443 BACKPACKS WERE DISTRIBUTED IN 2015, WITH PARTIAL FUNDING THROUGH THE PROMEDICA ADVOCACY FUND. - HOSPITAL EMPLOYEES FROM THE FOLLOWING DEPARTMENTS ASSISTED WITH THE ASSEMBLY OF BACKPACKS: NURSING, FACILITIES, SURGERY, MED/SURG AND NURSING ADMINISTRATION.STRATEGY #2 - ADDRESS THE ACCESS OF APPROPRIATE FOOD TO PATIENTS AT NEED AT DISCHARGE. IMPLEMENT A PROGRAM THAT INCLUDES A FOOD SCREENING COMPONENT FOR INPATIENTS, AND INCLUDE A MECHANISM FOR PROVIDING BOTH EMERGENCY FOOD UPON DISCHARGE AND A REFERRAL TO A LOCAL FOOD PROGRAM.ACTIONS TAKEN: - CONTINUED THE FOOD AT DISCHARGE PROGRAM THAT INCLUDES A FOOD SCREENING COMPONENT FOR INPATIENTS, AND INCLUDED A MECHANISM FOR PROVIDING BOTH EMERGENCY FOOD UPON DISCHARGE AND A REFERRAL TO A LOCAL FOOD PROGRAM. FOOD AT DISCHARGE PROGRAM AND REFERRALS TO LOCAL FOOD PROGRAMS IMPLEMENTED WITH 141 INPATIENTS SERVED IN 2015.STRATEGY #3 - CONTINUE INVOLVEMENT IN THE COUNTY SUMMER FOOD PROGRAM FOR AT-RISK YOUTH. ENGAGE HOSPITAL EMPLOYEES IN THE PROGRAM BY COORDINATING SERVICE AND IMPLEMENTATION OF THE PROGRAM FOR ONE DAY OF EACH WEEK THROUGHOUT THE SUMMER.ACTIONS TAKEN: - ENGAGED HOSPITAL EMPLOYEES IN THE PROGRAM BY COORDINATING SERVICE AND IMPLEMENTATION OF THE PROGRAM FOR ONE DAY OF EACH WEEK THROUGHOUT THE SUMMER. 8 EMPLOYEES FROM NURSING, FACILITIES, SURGERY, MED/SURG AND NURSING ADMINISTRATION VOLUNTEERED THEIR TIME IN THE SUMMER FOOD PROGRAM FOR AT RISK YOUTH.- WITH THE HELP FROM MANY OTHER COMMUNITY VOLUNTEERS, THE PROGRAM WAS ABLE TO SERVE 3,685 NUTRITIOUS LUNCHES TO 549 CHILDREN AND ALSO SENT 72 BAGS OF FOOD HOME FOR WEEKEND MEALS.STRATEGY #4 - PROVIDE COMMUNITY LEADERSHIP IN DEMONSTRATING BETTER NUTRITION OPTIONS AT THE HOSPITAL. ACTIONS TAKEN:- THE BAN ON SUGAR SWEETENED BEVERAGES, AND THE OFFERING OF HEALTHY MEAL OPTIONS, CONTINUED IN 2015.HEALTH NEED IDENTIFIED: ACCESS TO CARE/TRANSPORTATIONSTRATEGY #1 - PARTICIPATE WITH THE UNITED WAY IN BRINGING COUNTY STAKEHOLDERS TOGETHER TO EXPLORE OPTIONS.ACTIONS TAKEN:- DEFIANCE HOSPITAL, INC. SPONSORS THE FLEXRIDE PROGRAM THROUGH THE DEFIANCE COUNTY UNITED WAY; THE PROGRAM ASSISTS ELIGIBLE COMMUNITY MEMBERS WITH RIDES TO AND FROM PHYSICIAN APPOINTMENTS, JOB INTERVIEWS, ETC.- DEFIANCE HOSPITAL, INC. IS IN THE FINAL STAGES OF IMPLEMENTING A FOOD INSECURITIES PROGRAM. THE HOSPITAL WILL WORK WITH THE LOCAL FOOD BANKS/CHURCHES, AND AGENCIES SUCH AS KELLER LOGISTICS, AND THE UNITED WAY OF DEFIANCE COUNTY TO ENSURE ELIGIBLE COMMUNITY MEMBERS RECEIVE THE FOOD THEY NEED AFTER DISCHARGE TO ENSURE CONTINUED HEALTH.STRATEGY #2 - MAKE PROMEDICA GRANT WRITERS AVAILABLE TO ANY RESULTING INITIATIVE.ACTIONS TAKEN:- GRANTS WERE SUBMITTED TO SUPPORT ACCESS TO RESPITE CARE AT KAITLYN'S COTTAGE, INC. FOR SPECIAL NEEDS PATIENTS AND FAMILIES.HEALTH NEED IDENTIFIED: COMMUNITY HEALTH PARTNERS FUNDINGSTRATEGY #1 - PROVIDE ASSISTANCE AND LEADERSHIP IN FINDING NEW WAYS TO FUND INITIATIVES STEMMING FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT AND RESULTING COUNTY COALITION.ACTIONS TAKEN:- PROVIDED PARTIAL FUNDING FOR DEFIANCE PUBLIC SCHOOLS WEEKEND BACKPACK PROGRAM.
DEFIANCE HOSPITAL, INC. DID NOT ADDRESS ALL OF THE SPECIFIC NEEDSIDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT AS THESE AREAS EITHER ARE ADDRESSED DURING PHYSICIAN VISITS, GO BEYOND THE SCOPE OF THE HOSPITAL, OR ARE BEING ADDRESSED BY, OR WITH, OTHER ORGANIZATIONS IN THE COMMUNITY. ALTHOUGH PROMEDICA PHYSICIANS AND OTHER PROGRAMS ADDRESS THE HEALTH NEEDS OF PATIENTS AS NEEDED, THE NEEDS SPECIFICALLY NOT ADDRESSED BY THE HOSPITAL IN ITS PLAN, INCLUDE (*INDICATES PROMEDICA HAS, OR PARTICIPATES IN, COMMUNITY OUTREACH PROGRAMS ADDRESSING THESE ISSUES):- HEALTH STATUS - ADDRESSED AT PHYSICIAN VISITS; DEFIANCE COUNTY GENERAL HEALTH DISTRICT* - HEALTH CARE COVERAGE - PARAMOUNT HEALTH CARE*; MEDICAID EXPANSION*- HEALTH CARE ACCESS - HOSPITALS; DEFIANCE COUNTY GENERAL HEALTH DISTRICT; UNITED WAY OF DEFIANCE COUNTY*; DEFIANCE COUNTY SENIOR SERVICES; CENTER FOR CHILD & FAMILY ADVOCACY*- ARTHRITIS - ADDRESSED AT PHYSICIAN VISITS; ARTHRITIS FOUNDATION; DEFIANCE AREA YMCA*; DEFIANCE COUNTY HEALTH DISTRICT*- ALCOHOL USE - ADDRESSED AT PHYSICIAN VISITS; DEFIANCE MERCY HOSPITAL DECREASE YOUTH ALCOHOL USE INITIATIVE- ASTHMA - ADDRESSED AT PHYSICIAN VISITS; DEFIANCE COUNTY SCHOOLS*; DEFIANCE COUNTY HEALTH DISTRICT*- CARDIOVASCULAR HEALTH - PROMEDICA HEART & VASCULAR INSTITUTE; AMERICAN HEART ASSOCIATION*; DEFIANCE COUNTY HEALTH DISTRICT*- DIABETES - ADDRESSED AT PHYSICIAN VISITS; AMERICAN DIABETES ASSOCIATION; DEFIANCE COUNTY HEALTH DISTRICT*- MEN'S HEALTH - ADDRESSED AT PHYSICIAN VISITS- MENTAL HEALTH - ADDRESSED AT PHYSICIAN VISITS; FOUR COUNTY FAMILY CENTER; MAUMEE VALLEY GUIDANCE CENTER; FOUR COUNTY ADAMHS BOARD (SEE YOUTH SAFETY AND YOUTH VIOLENCE)- PERCEIVED QUALITY OF LIFE - DEFIANCE CITY COUNCIL*; DEFIANCE CITY POLICE DEPARTMENT; DEFIANCE COUNTY DEVELOPMENT AND VISITORS BUREAU; DEFIANCE COUNTY COMMISSIONERS- PREVENTIVE SCREENINGS AND IMMUNIZATIONS - ADDRESSED AT PHYSICIAN VISITS; KOMEN NORTHWEST OHIO*; BREAST AND CERVICAL CANCER SCREENING PROGRAM*; AMERICAN CANCER SOCIETY; AMERICAN HEART ASSOCIATION*; DEFIANCE COUNTY HEALTH DISTRICT*- SEXUAL BEHAVIOR - ADDRESSED AT PHYSICIAN VISITS; DEFIANCE COUNTY GENERAL HEALTH DISTRICT HIV TESTING; MINISTERIAL ASSOCIATION YOUTH FOR CHRIST; FOUR COUNTY FAMILY CENTER; FAMILY & CHILDREN FIRST COUNCIL- TOBACCO USE - AMERICAN CANCER SOCIETY*; AMERICAN LUNCH ASSOCIATION; AMERICAN HEART ASSOCIATION*; DEFIANCE COUNTY HEALTH DISTRICT*- SUBSTANCE ABUSE - ADDRESSED AT PHYSICIAN VISITS; SCHOOLS; DEFIANCE POLICE; DEFIANCE COUNTY HEALTH DISTRICT*; FOUR COUNTY ADAMHS BOARD; FOUR COUNTY FAMILY CENTER- WEIGHT STATUS - DEFIANCE COUNTY HEALTH DISTRICT*; FOUR COUNTY FAMILY CENTER; FAMILY & CHILDREN FIRST COUNCIL; DEFIANCE YMCA- WOMEN'S HEALTH - ADDRESSED AT PHYSICIAN VISITS; NORTHWEST OHIO KOMEN*; BREAST AND CERVICAL CANCER SCREENING PROJECT*; COMMUNITY PREGNANCY CENTERS, CENTER FOR CHILD & FAMILY ADVOCACY; FOUR COUNTY FAMILY CENTER - DEFIANCE COUNTY HEALTH DISTRICT*; - YOUTH SAFETY - SCHOOLS; MERCY DEFIANCE HOSPITAL DECREASE YOUTH DEPRESSION AND SUICIDE; CENTER FOR CHILD & FAMILY ADVOCACY*; FOUR COUNTY FAMILY CENTER; FAMILY & CHILDREN FIRST COUNCIL; DEFIANCE COUNTY HEALTH DISTRICT*; MAUMEE VALLEY GUIDANCE CENTER- YOUTH VIOLENCE - SCHOOLS; MERCY DEFIANCE HOSPITAL DECREASING YOUTH BULLYING- YOUTH PERCEPTIONS- ORAL HEALTH - EARLY CHILDHOOD (0-5 YEARS) ISSUES - DEFIANCE COUNTY GENERAL HEALTH DISTRICT WIC, CAR SEAT CLASSES, CHILD IMMUNIZATIONS, AND CHILD PASSENGER SAFETY PROGRAM- MIDDLE CHILDHOOD (6-11 YEARS) ISSUES - SCHOOLS; DEFIANCE COUNTY GENERAL HEALTH DISTRICT HEAD LICE CHECKS AND SCHOOL VISITS- FAMILY FUNCTIONING - FOOD PANTRIES*; DEFIANCE COUNTY FURNITURE BANK - NEIGHBORHOOD AND COMMUNITY CHARACTERISTICS - DEFIANCE DEVELOPMENT AND VISITOR'S BUREAU- PARENTAL HEALTH - DEFIANCE COUNTY GENERAL HEALTH DISTRICT ADULT IMMUNIZATIONS; FOUNTAIN OF FAITH FREE MEDICAL CLINIC TO SOME EXTENT, RESOURCE RESTRICTIONS DO NOT ALLOW THE HOSPITAL TO ADDRESS ALL OF THE NEEDS IDENTIFIED THROUGH THE HEALTH NEEDS ASSESSMENT, BUT MOST IMPORTANTLY TO PREVENT DUPLICATION OF EFFORTS AND INEFFICIENT USE OF RESOURCES, MANY OF THESE ISSUES ARE ADDRESSED BY, AND WITH, OTHER COMMUNITY ORGANIZATIONS AND COALITIONS.
DEFIANCE HOSPITAL, INC.:PART V, SECTION B, LINE 16B: THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.PROMEDICA.ORG/FINANCIALASSISTANCEDEFIANCE HOSPITAL, INC.:PART V, SECTION B, LINE 16C: A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.PROMEDICA.ORG/FINANCIALASSISTANCE
DEFIANCE HOSPITAL, INC.:PART V, SECTION B, LINE 20B: A PATIENT FINANCIAL ADVOCATE (PFA) IS ASSIGNED TO EACH PATIENT WHO HAS BEEN ADMITTED TO THE HOSPITAL FACILITY TO NOTIFY THE INDIVIDUAL OF THE FINANCIAL ASSISTANCE POLICY PRIOR TO DISCHARGE.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

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PART I, LINE 6A:DEFIANCE HOSPITAL, INC. REPORTS COMMUNITY BENEFIT INFORMATION AS PART OF THE PROMEDICA HEALTH SYSTEM, INC. ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7:DEFIANCE HOSPITAL, INC. CALCULATED THE COST OF FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS, USING THE COST-TO-CHARGE RATIO DERIVED FROM SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. OTHER BENEFITS AMOUNTS REPORTED ON LINE 7 WERE CALCULATED USING COSTS CHARGED DIRECTLY TO THE INDIVIDUAL PROGRAMS VIA THE FINANCIAL ACCOUNTING SYSTEM. AN INDIRECT COST ALLOCATION FACTOR FOR SHARED SERVICES IS ALSO CALCULATED AND INCLUDED IN APPLICABLE PROGRAMS LISTED IN OTHER BENEFITS.
PART III, LINE 2:DEFIANCE HOSPITAL, INC.'S ANALYSIS AND ASSESSMENT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND RELATED BAD DEBT EXPENSE USES A RECEIPTS "LOOK-BACK" METHOD UTILIZING HISTORICAL PAYMENT DATA ON ACCOUNTS, INCLUDING CONTRACTUAL ADJUSTMENTS FOR PAYER DISCOUNTS, AS WELL AS PATIENT PAYMENTS, SUCH AS CO-PAYS AND DEDUCTIBLES, TO ESTABLISH ANTICIPATED COLLECTABILITY RATES FOR ACCOUNTS RECEIVABLE WITHIN EACH PAYER CATEGORY.
PART III, LINE 3:DEFIANCE HOSPITAL, INC. ESTIMATED THE POSSIBLE AMOUNT OF FINANCIAL ASSISTANCE WITHIN BAD DEBT EXPENSE BY REVIEWING ACCOUNTS THAT WERE INTERNALLY CODED AS HAVING BEEN PROVIDED A FINANCIAL ASSISTANCE APPLICATION, BUT THAT WAS NOT ADEQUATELY COMPLETED BY THE PATIENT OR GUARANTOR, IN WHICH THE ACCOUNT WAS SUBSEQUENTLY WRITTEN OFF TO BAD DEBT.
PART III, LINE 4:PROVISION FOR BAD DEBTS AND ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ARE DISCUSSED ON PAGES 15 AND 16 OF THE ATTACHED PROMEDICA HEALTH SYSTEM AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8:MEDICARE SHORTFALL, WHICH IS THE EXCESS OF COSTS TO TREAT MEDICARE PATIENTS OVER THE REIMBURSEMENT RECEIVED FROM THE FEDERAL GOVERNMENT, SHOULD BE TREATED AS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS:- THE MEDICARE SHORTFALL REPRESENTS THE RELIEF OF A FINANCIAL BURDEN THAT WOULD OTHERWISE BE BORNE BY A GOVERNMENT PROGRAM.- THE MEDICARE SHORTFALL REPRESENTS A SOCIETAL BENEFIT INSOFAR AS MANY OF THE PROGRAMS AND SERVICES WOULD NOT BE PROVIDED TO THE COMMUNITY, IF THE DECISION TO PROVIDE SUCH SERVICES WAS MADE ON A FINANCIAL BASIS.- MEDICARE IS A SOCIETAL BENEFIT, PROVIDED BY THE FEDERAL GOVERNMENT, FOR THOSE WHO WOULD OTHERWISE BE UNINSURED AFTER AGING OUT OF TRADITIONAL MEANS OF HEALTH INSURANCE, SUCH AS INSURANCE PROVIDED BY AN EMPLOYER.- MEDICARE IS NOT A TRUE MARKET PAYER, AS COMPARED TO COMMERCIAL PAYERS, WHEREBY REIMBURSEMENT RATES CAN BE NEGOTIATED AND ADJUSTED IN ORDER TO REDUCE INCURRED LOSSES.DEFIANCE HOSPITAL, INC. USED THE MEDICARE ALLOWABLE COSTS PER ITS 2015 AS-FILED MEDICARE COST REPORTS, LESS ANY ADJUSTMENTS FOR SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION, IF APPLICABLE. ALLOWABLE COSTS ARE CALCULATED BY ALLOCATING TOTAL FACILITY COSTS TO REVENUE GENERATING UNITS WITHIN THE HOSPITAL. THE MEDICARE COST REPORT DOES NOT REFLECT ALL OF THE COSTS ASSOCIATED WITH MEDICARE PROGRAMS.
PART III, LINE 9B:FINANCIAL ASSISTANCE DISCOUNTS ARE GRANTED FOR MEDICALLY NECESSARY SERVICES WHEN IT IS DETERMINED THAT THE PATIENT AND FAMILY INCOME MEETS THE CRITERIA ESTABLISHED. PATIENTS WHO HAVE INSURANCE COVERAGE OR WHO ARE ENTITLED TO GOVERNMENTAL ASSISTANCE ARE IDENTIFIED IN ORDER FOR REIMBURSEMENT TO BE OBTAINED. ALL PATIENTS WITH SELF-PAY BALANCES AFTER INSURANCE MAY OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS IF THEY PROVIDE APPROPRIATE DOCUMENTATION THAT THEY SATISFY THE INCOME GUIDELINES. VERIFICATION OF FINANCIAL ASSISTANCE IS PURSUED THROUGHOUT THE INTERNAL COLLECTION PROCESS UNTIL ALL OPTIONS HAVE BEEN EXHAUSTED. ALL PATIENTS, THAT HAVE A SELF-PAY BALANCE, INCLUDING PATIENTS THAT MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, RECEIVE BILLING STATEMENTS AND PAYMENT REMINDERS. THESE STATEMENTS INFORM ALL PATIENTS OF THE OPPORTUNITY TO SEEK A FINANCIAL ASSISTANCE ADJUSTMENT FOR MEDICALLY NECESSARY SERVICES, THE ELIGIBILITY CRITERIA, AND THE METHOD TO APPLY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN COMPLETED AND/OR REQUESTED INCOME VERIFICATION HAS NOT BEEN RECEIVED FROM A PATIENT WHO COULD POTENTIALLY QUALIFY, THE PATIENT WILL CONTINUE TO RECEIVE BILLING STATEMENTS THROUGH THE NORMAL COLLECTION PROCESS. IF A PATIENT DOES NOT HAVE INSURANCE, A PRESUMPTIVE CHARITY DETERMINATION (WHICH USES PUBLICLY AVAILABLE DATA SUCH AS DEMOGRAPHIC INFORMATION, CREDIT HISTORY, ETC.) MAY BE MADE TO ASSIST WITH QUALIFYING FOR FINANCIAL ASSISTANCE. ONCE IT HAS BEEN DETERMINED THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, AN ADJUSTMENT IS PROCESSED. THE PATIENT ACCOUNT ANALYST WILL DETERMINE PATIENT ELIGIBILITY AND CALCULATE THE ADJUSTMENT BASED ON POLICY GUIDELINES. AN ADJUSTMENT FORM IS PREPARED AND APPROVED PER POLICY. UNINSURED PATIENTS MAY BE REQUIRED TO COMPLETE AN APPLICATION AND PROVIDE REQUIRED DOCUMENTATION, INCLUDING ANY DOCUMENTATION REQUIRED TO DETERMINE ELIGIBILITY. UNINSURED PATIENTS ARE NOTIFIED IN WRITING WHETHER OR NOT THEY QUALIFY FOR ANY FINANCIAL ASSISTANCE ADJUSTMENT FOR WHICH THEY HAVE SUBMITTED AN APPLICATION, AND OF ANY REMAINING BALANCE OWED. THE ADJUSTMENT IS THEN APPLIED TO THE PATIENT'S ACCOUNT.PATIENTS MAY BE OFFERED PAYMENT PLANS WHEN APPROPRIATE BASED ON DOCUMENTED FINANCIAL NEED AND CIRCUMSTANCES. LONGER PAYMENT PLANS MAY BE OFFERED ON AN EXCEPTION BASIS FOR CASES WITH UNUSUALLY HIGH BALANCES OR SPECIAL CIRCUMSTANCES DEMONSTRATING AN INABILITY TO PAY. ONCE THE INTERNAL COLLECTION PROCESS HAS BEEN COMPLETED, PATIENT ACCOUNTS MAY BE REFERRED TO AN EXTERNAL COLLECTION AGENCY IF THE PATIENT HAS NOT CONTACTED US REGARDING THEIR DESIRE TO APPLY FOR FINANCIAL ASSISTANCE, SENT IN A FINANCIAL ASSISTANCE APPLICATION, RESPONDED TO REQUESTS FOR ADDITIONAL INFORMATION, OR WE ARE UNABLE TO MAKE A PRESUMPTIVE CHARITY DETERMINATION. IT IS THE EXPECTATION OF THE EXTERNAL COLLECTION AGENCY AS THEY WORK ACCOUNTS TO OFFER FINANCIAL ASSISTANCE WHEN APPLICABLE. THROUGHOUT THE COLLECTION PROCESS, THE COLLECTION AGENCY WILL INFORM UNINSURED PATIENTS OF THE CRITERIA TO OBTAIN FINANCIAL ASSISTANCE ADJUSTMENTS BASED ON FAMILY INCOME AND FAMILY SIZE, AND WILL FORWARD APPLICATIONS FOR PATIENTS WHO SUBMIT THE REQUIRED DOCUMENTATION TO THE CENTRAL BUSINESS OFFICE FOR PROCESSING.
PART VI, LINE 2:PROMEDICA HEALTH SYSTEM AND HOSPITALS DEMONSTRATE A COMMITMENT TO THE COMMUNITIES IT SERVES AND THEREFORE, BELIEVES IT IS CRITICAL TO UNDERSTAND THE HEALTH CARE NEEDS OF ITS PRIMARY SERVICE AREA. TO THAT END, PROMEDICA HOSPITALS CONDUCT NEEDS ASSESSMENTS IN ITS PRIMARY SERVICE AREAS USING A VARIETY OF METHODOLOGIES TO ASSESS EACH COUNTY'S HEALTH CARE DATA, IDENTIFY GAPS IN HEALTH CARE INITIATIVES, AND MAKE RECOMMENDATIONS FOR THE BETTERMENT OF THE GENERAL COMMUNITY HEALTH. ANALYSIS OF PUBLISHED COUNTY HEALTH DATA, INTERVIEWS WITH KEY STAKEHOLDERS, AND REVIEW OF HISTORICAL AND EXISTING PROMEDICA COMMUNITY ASSESSMENTS ARE ALL MEANS BY WHICH RECOMMENDATIONS FOR THE PROMEDICA COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLANS ARE DEVELOPED. INFORMATION IS REVIEWED AND APPROVED BY HOSPITAL GOVERNANCE LEADERSHIP TO ASSURE THAT PLANS ARE DEVELOPED TO MEET THE NEEDS OF THE COMMUNITY.PUBLISHED COUNTY HEALTH DATACOUNTY HEALTH DATA WERE OBTAINED FROM SEVERAL SOURCES, INCLUDING THE OHIO DEPARTMENT OF HEALTH DATA WAREHOUSE, THE MICHIGAN DEPARTMENT OF HEALTH, AND FORMAL COUNTY ASSESSMENTS CONDUCTED WITHIN THE INDIVIDUAL COUNTIES. ALTHOUGH MOST COUNTIES CONDUCTING A FORMAL ASSESSMENT UTILIZE THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) QUESTIONNAIRE DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AS THE BASIS OF THE COUNTY QUESTIONNAIRE, COUNTY COMMITTEES TYPICALLY ADD AND/OR CHANGE QUESTIONS TO MEET THE COUNTY'S PERCEIVED NEEDS. PROMEDICA'S COMMUNITY GOALS ARE SET BASED ON THESE DATA.PROMEDICA COMMUNITY HEALTH PLANOVERALL, EMPHASIS IS PLACED ON CLINICAL PROGRAMS FOCUSED ON LEADING CAUSES OF DEATH, CHRONIC DISEASES, MENTAL HEALTH, AND HUNGER/OBESITY DUE TO THE LARGE NUMBERS OF INDIVIDUALS AFFECTED BY THESE DISEASES. THE PRIMARY FOCUS FOR COMMUNITY HEALTH ACTIVITIES ARE RELATED TO EDUCATION, SCREENING, AND PREVENTION OF CHRONIC DISEASES, MENTAL HEALTH ISSUES, AND HUNGER/OBESITY; AND IMPROVING RELATED CONDITIONS THAT RESULT IN HIGH MORBIDITY AND MORTALITY IN OUR COMMUNITIES, WITH SPECIAL EMPHASIS PLACED ON SERVING UNDERSERVED POPULATIONS. IN ADDITION, PROMEDICA STRATEGIC PLANNING CONTINUES TO DEVELOP PATIENT-CENTERED, INTEGRATED CLINICAL SERVICE LINES INCLUDING CANCER, CARDIOVASCULAR, ORTHOPAEDICS AND MATERNAL FETAL MEDICINE.
PART VI, LINE 3:THE OPPORTUNITY FOR FINANCIAL ASSISTANCE ADJUSTMENTS IS COMMUNICATED TO PATIENTS AT PROMEDICA HEALTH SYSTEM HOSPITALS THROUGH THE FOLLOWING METHODS:A. DURING THE PRE-REGISTRATION PROCESS FOR SCHEDULED INPATIENTS AND HIGH-DOLLAR OUTPATIENT CASES, THE CENTRALIZED PRE-REGISTRATION STAFF WILL NOTIFY A PATIENT FINANCIAL ADVOCATE TO CONTACT THE PATIENT PRIOR TO SERVICE TO DISCUSS POTENTIAL ELIGIBILITY FOR GOVERNMENT PROGRAMS AND FINANCIAL ASSISTANCE. THE PRE-SERVICE FUNCTION INCLUDES ACCOUNT REGISTRATION, INSURANCE VERIFICATION, PRE-CERTIFICATION AND FINANCIAL COUNSELING.B. ADMITTING LOCATIONS WILL HAVE FINANCIAL ASSISTANCE FORMS AVAILABLE FOR SELF-PAY PATIENTS TO COMPLETE WHEN REGISTERED AS UNINSURED. AT ADMITTING, UNINSURED PATIENTS ARE INFORMED OF THE OPPORTUNITY TO SEEK FINANCIAL ASSISTANCE. C. PATIENT FINANCIAL ADVOCATES ARE AVAILABLE AT THE HOSPITALS TO ASSIST UNINSURED PATIENTS IN COMPLETING THE FORMS. PATIENT FINANCIAL ADVOCATES ATTEMPT TO MEET WITH IN-HOUSE PATIENTS TO ASSESS ELIGIBILITY AND TO ASSIST WITH APPLICATION FOR GOVERNMENT ASSISTANCE PROGRAMS, TO EXPLAIN PATIENT LIABILITY FOR CHARGES, TO PROVIDE AN ESTIMATE OF CHARGES WHEN FEASIBLE, TO EXPLAIN THE OPPORTUNITY FOR FINANCIAL ASSISTANCE, INCLUDING THE CRITERIA AND THE METHOD FOR APPLYING, AND TO EXPLAIN PAYMENT OPTIONS.D. A MESSAGE IS PRINTED ON THE PATIENT BILLING STATEMENTS TO NOTIFY THE UNINSURED PATIENT THAT FINANCIAL ASSISTANCE IS AVAILABLE, TO EXPLAIN THE ELIGIBILITY CRITERIA, AND TO DESCRIBE THE METHOD TO APPLY.E. A SUMMARY OF THE POLICY FOR UNINSURED PATIENTS IS INCLUDED IN THE STATEMENTS OF UNINSURED PATIENT, AVAILABLE VIA THE PROMEDICA WEB SITE, AVAILABLE AT HOSPITAL REGISTRATION LOCATIONS, OR BY CALLING THE PROMEDICA CUSTOMER SERVICE DEPARTMENT. BUSINESS OFFICE PERSONNEL ALSO NOTIFY UNINSURED PATIENTS OF THE FINANCIAL ADJUSTMENT POLICY THROUGH THE CUSTOMER SERVICE AND COLLECTION DEPARTMENTS.
PART VI, LINE 4:DEFIANCE HOSPITAL, INC., LOCATED IN DEFIANCE, OHIO, SERVES AN AREA PRIMARILY AROUND DEFIANCE COUNTY WITH A POPULATION OF APPROXIMATELY 105,000. APPROXIMATELY, 18% OF THE SERVICE AREA IS AGE 65 OR OVER; 39% IS BETWEEN AGE 35 AND 64; MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $49,000; 57% OF THE ADULT POPULATION AGED 25+ HAS A HIGH SCHOOL DEGREE OR LOWER; 51% OF HOUSEHOLDS HAVE AN INCOME OF $50,000 OR LESS. DEFIANCE COUNTY HAS A POPULATION OF APPROXIMATELY 39,000 WITH APPROXIMATELY 5% OF FAMILIES BELOW THE POVERTY LEVEL AND AN APPROXIMATE 22% MEDICAID ELIGIBLE RATE. APPROXIMATELY, 16% OF DEFIANCE COUNTY IS UNINSURED. THE AVERAGE UNEMPLOYMENT RATE FOR DEFIANCE COUNTY IN 2015 WAS 7.2%. THE LEADING CAUSES OF DEATH IN THE SERVICE AREA, BASED ON AGE ADJUSTED MORTALITY RATES ARE HEART DISEASE, LUNG DISEASE, STROKE, DIABETES, CANCER, ALZHEIMER'S AND UNINTENTIONAL INJURIES/ACCIDENTS. ACCORDING TO THE 2015 COUNTY HEALTH RANKINGS, DEFIANCE COUNTY RANKED 18 OF 88 COUNTIES FOR HEALTH OUTCOMES, 18 OF 88 FOR MORTALITY, AND 20 OF 88 FOR MORBIDITY. THERE ARE EIGHT HOSPITALS WITHIN A FIVE COUNTY AREA AROUND DEFIANCE, COMMUNITY HOSPITALS AND WELLNESS CENTERS - MONTPELIER, COMMUNITY HOSPITALS AND WELLNESS CENTERS - BRYAN, COMMUNITY HOSPITALS AND WELLNESS CENTERS - ARCHBOLD, FULTON COUNTY HEALTH CENTER, HENRY COUNTY HOSPITAL, PAULDING COUNTY HOSPITAL, MERCY HOSPITAL OF DEFIANCE, AND COMMUNITY MEMORIAL HOSPITAL - HICKSVILLE.
PART VI, LINE 5:DEFIANCE HOSPITAL, INC. IS AN INTEGRAL PART OF PROMEDICA HEALTH SYSTEM, INC. WHICH PROMOTES THE HEALTH OF THE COMMUNITY AS AN INTEGRATED DELIVERY SYSTEM.- IN 2015, THERE WERE MORE THAN 500 BOARD MEMBERS FOR PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), INCLUDING ITS SUBSIDIARIES. OF THESE, 100% LIVED WITHIN PROMEDICA'S 27-COUNTY SERVICE AREA, WITH THE MAJORITY RESIDING WITHIN METRO TOLEDO WHERE PROMEDICA'S ADULT AND PEDIATRIC TERTIARY HOSPITALS (THE TOLEDO HOSPITAL AND TOLEDO CHILDREN'S HOSPITAL) ARE LOCATED. TRUSTEE REPRESENTATION IS COMPRISED OF DIVERSE MEMBERS, INCLUDING 80 PHYSICIANS, FROM NORTHWEST OHIO AND SOUTHEAST MICHIGAN. ADDITIONALLY, PROMEDICA BOARD MEMBERS INCLUDED 189 WOMEN AND 77 RACIAL/ETHNIC MINORITIES.- BOARD MEMBERS ARE NOT COMPENSATED BY PROMEDICA FOR THEIR SERVICE TO OUR HOSPITALS AND OTHER BUSINESS UNITS; THEIR DONATION OF TIME AND EXPERTISE, INCLUDING ATTENDING BOARD MEETINGS, RETREATS AND OTHER ACTIVITIES, ARE PERFORMED ON A VOLUNTEER BASIS. IN 2015, PROMEDICA BOARD MEMBERS GAVE MORE THAN 28,000 HOURS IN SERVICE TO THE ORGANIZATION, WHICH EQUATES TO AN ESTIMATED CONTRIBUTION OF MORE THAN $3 MILLION TO OUR COMMUNITIES.- PROMEDICA'S MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITIES WHICH PROMEDICA SERVES. QUALIFICATION MAY VARY BY HOSPITAL, BUT ANY PHYSICIAN WHO MEETS THOSE QUALIFICATIONS MAY BE GRANTED PRIVILEGES.- A NEW FOOD PHARMACY PILOT LAUNCHED, SERVING PATIENTS AT THE ADULT MEDICINE CLINIC AT PROMEDICA'S CENTER FOR HEALTH SERVICES (CHS) AND THE WW KNIGHT FAMILY MEDICINE PRACTICE. THE PROGRAM REFERS PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY TO RECEIVE FOOD FOR THEMSELVES AND THEIR FAMILY FROM THE FOOD PHARMACY LOCATED ON THE FIRST FLOOR OF CHS. EACH PATIENT RECEIVES TWO TO THREE DAYS OF SUPPLEMENTAL FOOD FOR THEIR FAMILY. STARTING IN APRIL THROUGH DECEMBER 2015, APPROXIMATELY 1,400 REFERRALS WERE MADE TO THE FOOD PHARMACY, PROVIDING SUPPLEMENTAL FOOD TO MORE THAN 1,800 HOUSEHOLDS. - PROMEDICA OPENED THE EBEID INSTITUTE'S NEW MARKET ON THE GREEN TO PROVIDE BETTER ACCESS TO HEALTHY FOODS IN A DESIGNATED FOOD DESERT, AS WELL AS JOB TRAINING OPPORTUNITIES FOR RESIDENTS IN THE UPTOWN TOLEDO NEIGHBORHOOD. - PROMEDICA PROVIDED NEARLY 7,500 HEALTH SCREENINGS TO COMMUNITY MEMBERS THROUGHOUT 2015, INCLUDING BLOOD PRESSURE, BLOOD GLUCOSE AND BODY MASS INDEX SCREENINGS AT NUMEROUS HEALTH FAIRS AND SPORTING EVENTS. ADDITIONALLY, FREE SCREENING MAMMOGRAMS, AS WELL AS SKIN CANCER AND LUNG CANCER SCREENINGS AND COLORECTAL CANCER EDUCATION WERE PROVIDED FOR EARLY DETECTION. PROSTATE CANCER SCREENING EDUCATION AND NUTRITIONAL PROGRAMS WERE DEVELOPED TO KEEP PEOPLE HEALTHY.
PART VI, LINE 6:PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION THAT WAS FORMED IN TOLEDO, OHIO IN 1986. IN 2015, PROMEDICA WAS COMPRISED OF MORE THAN 17,000 EMPLOYEES, APPROXIMATELY 2,700 VOLUNTEERS AND MORE THAN 2,300 HEALTHCARE PROVIDERS, INCLUDING NEARLY 900 PROVIDERS EMPLOYED BY PROMEDICA PHYSICIAN GROUP, WHO HAVE JOINED TOGETHER TO FORM A NETWORK ACROSS 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN. AS AN INTEGRATED DELIVERY SYSTEM, PROMEDICA PROVIDERS SHARE RESOURCES SUCH AS ADVANCED TECHNOLOGY, QUALITY STANDARDS, SAFETY PRACTICES, MEDICAL EXPERTISE, AND SPECIALTY SERVICES TO HELP ENSURE AREA RESIDENTS HAVE READY ACCESS TO HIGH-QUALITY CARE IN THE MOST APPROPRIATE SETTING IN ORDER TO PROVIDE COST-EFFICIENT SERVICES. - PROMEDICA MEMBERS INCLUDE: THE TOLEDO HOSPITAL D/B/A PROMEDICA TOLEDO HOSPITAL; PROMEDICA TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF PROMEDICA TOLEDO HOSPITAL); PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL, A DIVISION OF PROMEDICA TOLEDO HOSPITAL; FLOWER HOSPITAL D/B/A PROMEDICA FLOWER HOSPITAL; BAY PARK COMMUNITY HOSPITAL D/B/A PROMEDICA BAY PARK HOSPITAL; EMMA L. BIXBY MEDICAL CENTER D/B/A PROMEDICA BIXBY HOSPITAL; HERRICK MEMORIAL HOSPITAL, INC. D/B/A PROMEDICA HERRICK HOSPITAL; FOSTORIA HOSPITAL ASSOCIATION D/B/A PROMEDICA FOSTORIA COMMUNITY HOSPITAL; DEFIANCE HOSPITAL, INC. D/B/A PROMEDICA DEFIANCE REGIONAL HOSPITAL; MERCY MEMORIAL HOSPITAL CORPORATION D/B/A PROMEDICA MONROE REGIONAL HOSPITAL; ST. LUKE'S HOSPITAL D/B/A PROMEDICA ST. LUKE'S HOSPITAL; MEMORIAL HOSPITAL D/B/A PROMEDICA MEMORIAL HOSPITAL; PROMEDICA INSURANCE CORPORATION; PROMEDICA PHYSICIAN GROUP, A NETWORK OF SYSTEM-EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS; AND PROMEDICA CONTINUING CARE SERVICES CORPORATION, WITH SERVICES SUCH AS SENIOR CARE, HOSPICE, REHABILITATION, AND HOME CARE.- IN 2015, PROMEDICA MANAGED 4.7 MILLION PATIENT ENCOUNTERS AND CONTRIBUTED A TOTAL COMMUNITY BENEFIT OF NEARLY $199 MILLION, WHICH INCLUDED FREE HEALTH SCREENINGS AND PARTICIPATION IN PUBLIC HEALTH FAIRS TO MEDICAL LECTURES AT AREA SENIOR CENTERS AND NUTRITION EDUCATION IN ELEMENTARY SCHOOLS, PLUS MUCH MORE. - IN ADDITION, THE PROMEDICA ADVOCACY FUND ASSISTED LOCAL NONPROFIT AGENCIES WITH SIMILAR MISSIONS THROUGH GRANTS TOTALING NEARLY $315,000. AS IN PRIOR YEARS, EMPHASIS WAS PLACED ON ORGANIZATIONS WORKING TO PROVIDE BASIC NEEDS SERVICES SUCH AS CLOTHING, SHELTER AND FOOD AS THESE ARE TIED CLOSELY TO PROMEDICA'S MISSION OF IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES.- WITH REGARD TO HEALTH PROFESSIONS EDUCATION, BIWEEKLY, MONTHLY AND ANNUAL PROGRAMS WERE OFFERED THROUGHOUT 2015 FOR CONTINUING MEDICAL EDUCATION CREDIT. APPROXIMATELY 1,800 CREDIT HOURS OF PHYSICIAN EDUCATION WERE OFFERED. THERE WERE APPROXIMATELY 7,100 PHYSICIANS WHO PARTICIPATED IN EDUCATIONAL PROGRAMS, AND APPROXIMATELY 8,600 NON-PHYSICIANS (I.E., ALLIED HEALTH PROFESSIONALS).- PROMEDICA'S FOUNDATION RAISES FUNDS FOR PHILANTHROPY IN SUPPORT OF PROMEDICA'S MISSION TO IMPROVE HEALTH AND WELL-BEING. PROMEDICA FOUNDATION IS A SEPARATE PHILANTHROPIC ENTITY, AND ANNUAL DONOR PROGRAMS, CAPITAL CAMPAIGNS, PLANNED GIVING, AND EVENT FUNDRAISING ACTIVITIES ARE CONDUCTED TO RAISE FUNDS THAT SUPPORT PATIENTS AND FAMILIES, AS WELL AS LOCAL COMMUNITIES, THROUGH HEALTH-RELATED PROGRAMS, SERVICES, EQUIPMENT, AND FACILITY CONSTRUCTION/RENOVATION THAT HAVE BEEN IDENTIFIED, IN PART, THROUGH A COMMUNITY NEEDS ASSESSMENT.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
PROMEDICA HEALTH SYSTEM INC
1801 RICHARDS ROADTOLEDOOH43607341517671501(C)(3)$3,000,000OPERATING GRANT
PROMEDICA PHYSICIAN GROUP
5855 MONROE STSYLVANIAOH43560341899439501(C)(3)$541,000OPERATING GRANT
KAITLYN'S COTTAGE INC
1260 RALSTON AVEDEFIANCEOH43512454781053501(C)(3)$180,000OPERATING GRANT
PROMEDICA FOUNDATION
2142 N COVE BLVDTOLEDOOH43606341517672501(C)(3)$211,682OPERATING GRANT
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationAS AN AFFILIATE OF PROMEDICA HEALTH SYSTEM, INC. (PHS), CORPORATE TREASURY, WITH THE APPROVAL AND OVERSIGHT OF THE FINANCE COMMITTEE, ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO PHS'S STRATEGIC BUSINESS PLAN AND CONSISTENT WITH CORPORATE TREASURY POLICIES AND PROCEDURES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DANIEL K CASSAVAR MD
TRUSTEE$0$458,089$0$277,275$0$10,062$0$22,058$0$19,196$0$786,680$0$0
DARRIN ARQUETTE
PRESIDENT, EX OFFICIO$0$143,902$0$29,679$0$8,770$0$15,918$0$21,634$0$219,903$0$0
JULIE K YAROCH DO
PRES, EX OFFICIO (THRU 10/15)$0$223,364$0$0$0$827$0$15,799$0$18,484$0$258,474$0$0
KEVIN C WEBB PHD
EX OFFICIO$0$446,920$0$200,389$0$11,431$0$101,135$0$14,166$0$774,041$0$0
ROSEMARY K REITER MD
TRUSTEE$0$232,801$0$30,679$0$17,464$0$17,000$0$23,765$0$321,709$0$0
SAMER S OBRI MD
TRUSTEE$0$421,404$0$116,897$0$1,890$0$7,950$0$26,354$0$574,495$0$0
ALAN M SATTLER
TREASURER$0$405,315$0$154,161$0$29,282$0$97,575$0$22,501$0$708,834$0$0
JEFFREY C KUHN
SECRETARY$0$396,043$0$169,512$0$26,793$0$100,167$0$12,067$0$704,582$0$0
GARY AKENBERGER
SR. VP FINANCE, PHS$0$291,582$0$84,049$0$39,958$0$67,444$0$21,631$0$504,664$0$0
GARY M CATES
FORMER OFFICER$0$246,893$0$86,307$0$21,296$0$54,923$0$18,715$0$428,134$0$0
KATHLEEN S HANLEY
FORMER OFFICER$0$456,423$0$197,040$0$42,730$0$149,277$0$17,709$0$863,179$0$0
KATHLEEN BOFF
FORMER KEY EMPLOYEE$0$0$0$0$0$195,224$0$4,613$0$0$0$199,837$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3PROMEDICA HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION OF DEFIANCE HOSPITAL, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4BELIGIBLE EMPLOYEES PARTICIPATE IN VARIOUS NONQUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES, BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: KATHLEEN BOFF $195,224

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PART VBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionPART VRelationshipDescriptionTxt
Transaction$64,272TransactionAmt
TransactionPART VTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:FormAndLineReferenceDesc
Explanation(A) NAME OF INTERESTED PERSON: GLENN SMALL(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION:GLENN SMALL IS A FAMILY MEMBER OF WILLIAM J. SMALL (TRUSTEE).(C) AMOUNT OF TRANSACTION: $64,272(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT(E) SHARING OF ORGANIZATION REVENUES? = NOExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2MARK A. KLEIN AND LAURA W. KLINE HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6AS AN OHIO NON-PROFIT ORGANIZATION, THIS CORPORATION HAS A CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7APROMEDICA HEALTH SYSTEM, INC. (PHS) IS THE PARENT CORPORATION AND SOLE MEMBER OF DEFIANCE HOSPITAL, INC. OR IS THE SOLE MEMBER OF THE SOLE MEMBER OF DEFIANCE HOSPITAL, INC. AS THE MEMBER, PHS HAS THE RIGHT TO (A) NOMINATE AND ELECT A MINORITY OF THE MEMBERS AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES OF DEFIANCE HOSPITAL, INC., AND (B) APPROVE THE NOMINEES TO FILL ANY VACANCIES ON THE BOARD OF TRUSTEES, A MAJORITY OF WHOM ARE NOMINATED BY DEFIANCE HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7BWHILE THE BOARD OF TRUSTEES OF EACH BUSINESS UNIT IS GRANTED CERTAIN POWERS WITH RESPECT TO SUCH BUSINESS UNIT'S OPERATIONS, AS THE MEMBER, PROMEDICA HEALTH SYSTEM, INC. RETAINS APPROVAL RIGHTS WITH RESPECT TO CERTAIN CORPORATE ACTIONS SUCH AS (I) ADOPTION OF THE BUSINESS UNIT'S STRATEGIC PLANS AND FINANCIAL PLANS, (II) EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (III) EXPENDITURES FOR ITEMS WHICH ARE INCLUDED IN THE BUSINESS UNIT'S ANNUAL BUDGETS BUT WHICH EXCEED THE BUDGETED AMOUNT BY AN AMOUNT IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER, (IV) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS, (V) SALE, LEASE OR OTHER DISPOSITION OF REAL PROPERTY OR ASSETS WITH A VALUE IN EXCESS OF CERTAIN DOLLAR LIMITS SET FROM TIME TO TIME BY THE MEMBER AND (VI) ANY MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR LIQUIDATION.
FORM 990, PART VI, SECTION B, LINE 11UNDER THE GUIDANCE OF PROMEDICA HEALTH SYSTEM, INC.'S (PHS) TAX CONSULTANTS, FORM 990S ARE PREPARED BY THE RESPECTIVE ACCOUNTING DEPARTMENT OF EACH AFFILIATE AND REVIEWED BY THE AFFILIATE'S FINANCE LEADERSHIP. AFTER AFFILIATE'S FINANCE LEADERSHIP APPROVAL, COPIES OF THE FORM 990 FOR PHS AND THEIR SUBSIDIARIES ARE PROVIDED TO THE RESPECTIVE COMPANY'S BOARD OF TRUSTEES AND ARE REVIEWED AND SIGNED BY A PRINCIPAL OFFICER PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CPROMEDICA HEALTH SYSTEM, INC. AND AFFILIATES (PHS) HAVE STANDARDS OF CONDUCT THAT APPLY TO ALL PHS BOARD MEMBERS AND EMPLOYEES. BOARD MEMBERS AND EMPLOYEES ARE EXPECTED TO CERTIFY THEIR COMPLIANCE WITH THE APPLICABLE STANDARDS PRIOR TO ELECTION/APPOINTMENT OR PRIOR TO BEGINNING EMPLOYMENT. BOARD MEMBERS ANNUALLY (OR IMMEDIATELY IF NEW POTENTIAL CONFLICTS OF INTEREST ARISE), ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE BOARD MEMBER CERTIFICATION STATEMENT WITHIN 30 DAYS OF DISSEMINATION. BOARD MEMBER CERTIFICATION STATEMENTS ARE COMPILED AND REVIEWED BY THE V.P., AUDIT & COMPLIANCE/CHIEF COMPLIANCE OFFICER (CCO). SUMMARIZED INFORMATION IS FORWARDED FOR REVIEW TO THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, BUSINESS UNIT PRESIDENTS AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (PRESIDENT/CEO), BASED UPON THEIR RESPECTIVE KNOWLEDGE OF THE BOARD MEMBERS. THE PURPOSE OF THIS REVIEW IS TO BOTH INFORM MANAGEMENT OF THE DISCLOSED CONFLICTS AND TO ALLOW THEM TO IDENTIFY TO THE V.P., AUDIT & COMPLIANCE, ANY POTENTIAL UNDISCLOSED CONFLICTS. THE AUDIT & COMPLIANCE DEPARTMENT THEN CONDUCTS AN AUDIT OF ALL BOARD MEMBER CERTIFICATION STATEMENTS (ALONG WITH ANY RELATIONSHIPS NOTED THROUGH THE ABOVE REVIEW) TO IDENTIFY ANY POSITIONAL CONFLICTS OF INTEREST AND TO TEST MATERIAL TRANSACTIONS WITH BOARD MEMBERS/THEIR AFFILIATES FOR FAIR MARKET VALUE. THE RESULTS OF THE AUDIT ARE REPORTED DIRECTLY TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE WITH A COPY TO THE PRESIDENT/CEO. THE REPORT INCLUDES A SUMMARY OF THE AUDIT PROCEDURES PERFORMED, ANY SIGNIFICANT CONCERNS IDENTIFIED AND THEIR RESOLUTION. ANY UNRESOLVED CONFLICTS ARE ADDRESSED BY THE AUDIT COMMITTEE WITH RECOMMENDATIONS TO THE FULL BOARD AS NEEDED. FAILURE TO FILE THE CERTIFICATION STATEMENT, OR THE FILING OF A FALSE OR INCOMPLETE CERTIFICATION STATEMENT, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE BOARD MEMBER'S CERTIFICATION STATEMENT OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION BY THE BOARD OF TRUSTEES UP TO AND INCLUDING REMOVAL FROM THE BOARD/COMMITTEE/COUNCIL. EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL SALARIED EMPLOYEES AND SPECIFICALLY IDENTIFIED HOURLY EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS, ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC EMPLOYEE CERTIFICATION QUESTIONNAIRE BY AN ESTABLISHED DEADLINE THAT IS COMMUNICATED TO THE EMPLOYEE. THE HUMAN RESOURCES DEPARTMENT ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND PROVIDES NOTIFICATION TO THE V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL EMPLOYEE CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT. ALL NEW EMPLOYEES, EXCLUDING EMPLOYED PHYSICIANS, ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYEE STANDARD OF CONDUCT AND THE EMPLOYEE CERTIFICATION STATEMENT WHICH THE NEW EMPLOYEE IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. THE AUDIT & COMPLIANCE DEPARTMENT HAS ACCESS TO A REPORT THAT IDENTIFIES ALL NEW HIRES. A SAMPLE OF EMPLOYEES IS IDENTIFIED AND AN AUDIT IS CONDUCTED TO ENSURE THAT REQUIRED DOCUMENTATION IS ON FILE. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE V.P., AUDIT & COMPLIANCE AND IF NECESSARY DISCUSSED WITH THE BUSINESS UNIT PRESIDENT IN WHICH THE EMPLOYEE WORKS, AND GENERAL COUNSEL. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL OF THE PHS PRESIDENT/CEO. RESULTS OF THE EMPLOYEE PROCESS AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. FAILURE TO COMPLETE THE CERTIFICATION QUESTIONNAIRE, OR THE COMPLETION OF A FALSE OR INCOMPLETE CERTIFICATION QUESTIONNAIRE, OR FAILURE TO DISCLOSE IMMEDIATELY ANY NEW CONFLICTS OF INTEREST THAT MAY ARISE, OR FAILURE TO COOPERATE WITHOUT CONDITION, HONESTLY AND COMPLETELY WITH ANY INVESTIGATION OR REVIEW OF THE EMPLOYEE'S CERTIFICATION QUESTIONNAIRE OR HIS/HER ACTIONS OR CIRCUMSTANCES SHALL BE GROUNDS FOR SANCTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. EMPLOYED PHYSICIANS ANNUALLY (OR IMMEDIATELY IF NEW CONFLICTS OF INTEREST ARISE), ALL EMPLOYED PHYSICIANS ARE REQUIRED TO COMPLETE AND SUBMIT AN ELECTRONIC PHYSICIAN CERTIFICATION QUESTIONNAIRE BY THE ESTABLISHED AND COMMUNICATED DEADLINE. THE OFFICE OF THE PRESIDENT/CHIEF MEDICAL OFFICER AND THE CHIEF OPERATING OFFICER FOR PROMEDICA PHYSICIAN GROUP (PPG) ENSURES THAT ALL QUESTIONNAIRES, WHICH ARE STORED ELECTRONICALLY, ARE COMPLETED AND REVIEWED AND ENSURES NOTIFICATION IS PROVIDED TO THE V.P., AUDIT & COMPLIANCE OF THE NUMBER OF ANNUAL PHYSICIAN CERTIFICATION QUESTIONNAIRES SENT AND RECEIVED AND ALSO ENSURES COPIES OF ANY QUESTIONNAIRES CONTAINING DISCLOSURES THAT WARRANT FURTHER REVIEW BY THE AUDIT & COMPLIANCE DEPARTMENT ARE FORWARDED ACCORDINGLY. ALL NEW EMPLOYED PHYSICIANS ARE PROVIDED EITHER AN ELECTRONIC OR PAPER COPY OF THE EMPLOYED PHYSICIAN STANDARD OF CONDUCT AND THE PHYSICIAN CERTIFICATION STATEMENT WHICH THE NEW PHYSICIAN IS REQUIRED TO COMPLETE PRIOR TO BEGINNING EMPLOYMENT. IDENTIFIED CONFLICTS ARE INITIALLY REVIEWED BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER, CHIEF OPERATING OFFICER OR THEIR DESIGNEE, AND IF APPROPRIATE, ARE SUBSEQUENTLY REPORTED TO THE OFFICE OF THE V.P., AUDIT & COMPLIANCE. IF THE CONFLICT IS CONSIDERED A SIGNIFICANT EXPOSURE RISK FOR PHS, A RECOMMENDATION WILL BE PREPARED FOR FINAL APPROVAL BY THE PHS PRESIDENT/CHIEF EXECUTIVE OFFICER. RESULTS OF THE EMPLOYED PHYSICIAN AUDIT ARE INCLUDED IN THE ABOVE REPORT TO THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. ANY ITEMS THAT MEET CRITERIA FOR PUBLIC DISCLOSURE WILL BE COMMUNICATED TO THE APPROPRIATE PHYSICIAN BY THE PPG PRESIDENT/CHIEF MEDICAL OFFICER OR DESIGNEE IN ADVANCE OF THE POSTING. THE PPG PRESIDENT/CHIEF MEDICAL OFFICER OR DESIGNEE WILL PROVIDE THE PHYSICIAN-INDUSTRY RELATIONSHIP DISCLOSURES TO THE APPLICABLE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE. THE PUBLIC DISCLOSURE WILL BE POSTED ON THE PPG PHYSICIAN WEBSITE (I.E., WWW.PPGDOCS.ORG) DATABASE BY THE PHS MARKETING/COMMUNICATIONS REPRESENTATIVE.
FORM 990, PART VI, SECTION B, LINE 15DEFIANCE HOSPITAL, INC.'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BY PROMEDICA HEALTH SYSTEM, INC. (PHS), A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION DETERMINATIONS OF DEFIANCE HOSPITAL, INC.'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE MADE BY A COMPENSATION COMMITTEE OF PHS. EACH YEAR INDEPENDENT CONSULTANTS CONDUCT AN ANNUAL SURVEY AND RECOMMEND EXECUTIVE PAYROLL BASE SALARY RANGES BASED UPON THE MARKET. THE DATA IS REVIEWED AND APPROVED BY THE PROMEDICA HEALTH SYSTEM COMPENSATION COMMITTEE EVERY OCTOBER. SALARY ADJUSTMENTS ARE DETERMINED AT THE DECEMBER MEETING OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES OTHER FORMS OF COMPENSATION BASED UPON THE PRIOR YEAR PERFORMANCE AT THE JANUARY MEETING EACH YEAR.
FORM 990, PART VI, SECTION C, LINE 19PROMEDICA HEALTH SYSTEM, INC. AND SUBSIDIARIES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART XI, LINE 9:BENEFICIAL INTEREST IN FOUNDATION 677,657.
FORM 990, PART IV, LINE 24A:DEFIANCE HOSPITAL, INC. IS A HEALTH FACILITY THAT IS A SUBSIDIARY OF PROMEDICA HEALTH SYSTEM, INC. (PHS). DEFIANCE HOSPITAL, INC. HOLDS AN INTERCOMPANY NOTE PAYABLE TO THE TOLEDO HOSPITAL, WHICH IS ALSO A SUBSIDIARY OF PHS. THE NOTE PAYABLE REPRESENTS DEFIANCE HOSPITAL, INC.'S PORTION OF TAXABLE AND TAX-EXEMPT BONDS ISSUED BY PROMEDICA HEALTHCARE OBLIGATED GROUP.
FORM 990, PART III, LINE 4:PROMEDICA HEALTH SYSTEM, INC. - PROGRAM SERVICE ACCOMPLISHMENTS ESTABLISHED IN 1986, PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA) IS A MISSION-BASED, LOCALLY OWNED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN AND IS ONE OF THE REGION'S LEADING HEALTHCARE PROVIDERS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN CUTTING-EDGE TECHNOLOGY, INNOVATIVE PROGRAMS AND FAMILY-CENTERED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF A PATIENT'S ABILITY TO PAY. BASED ON NEEDS THAT WE HAVE ASSESSED WITHIN THE COMMUNITIES WE SERVE, PROMEDICA LAUNCHED NEW SERVICES AND PROGRAMS IN 2015 TO HELP MEET THE GROWING DEMANDS OF LOCAL CONSUMERS ACROSS ALL SPECTRUMS OF LIFE, INCLUDING THOSE INDIVIDUALS WHO ARE OFTEN THE MOST VULNERABLE WHEN IT COMES TO HEALTH CARE: THE ELDERLY, POOR AND UNDERSERVED. PROMEDICA'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE. THIS IS REFLECTED IN OUR FOUR CORE VALUES, INCLUDING: COMPASSION - WE TREAT OUR PATIENTS AND EACH OTHER WITH RESPECT, INTEGRITY AND DIGNITY; INNOVATION - WE CONTINUALLY SEARCH TO FIND A BETTER WAY FORWARD; TEAMWORK - WE PARTNER WITH OTHERS BECAUSE WE ARE BETTER TOGETHER THAN APART; AND EXCELLENCE - WE STRIVE TO BE THE BEST IN ALL WE DO. PROMEDICA AND ITS AFFILIATES COMPRISE 332 SITES, MORE THAN 2,300 PHYSICIANS AND APPROXIMATELY 17,000 EMPLOYEES AND VOLUNTEERS. DURING 2015, PROMEDICA DISCHARGED 82,132 INPATIENTS AND SERVED MORE THAN 1,535,310 OUTPATIENTS, WHILE HANDLING 350,316 EMERGENCY VISITS SYSTEM-WIDE. AMONG THE REGION'S LARGEST EMPLOYERS, PROMEDICA PLAYS A SIGNIFICANT ROLE IN ECONOMIC DEVELOPMENT AND STABILITY IN OUR REGION. DURING 2015, FOR EVERY ONE DOLLAR OF REVENUE, ANOTHER 43 CENTS WAS CREATED IN OUR SERVICE-AREA ECONOMY, WITH A TOTAL ECONOMIC OUTPUT OF $4.5 BILLION. WE ALSO CREATE A DIRECT ECONOMIC IMPACT WITH OUR REVENUE, PAYROLL AND EMPLOYMENT. ADDITIONALLY, SPENDING ON SERVICES AND MATERIALS WITH VENDORS IN OUR REGION CREATES AN INDIRECT ECONOMIC BENEFIT. OUR PHYSICIANS AND PROVIDERS, LEADERSHIP TEAM MEMBERS AND EMPLOYEES INDIVIDUALLY CONTRIBUTE PERSONAL RESOURCES TO THE COMMUNITY IN NUMEROUS WAYS - SUCH AS THROUGH TUTORING ELEMENTARY STUDENTS IN READING AND OTHER LIFE SKILLS, PROVIDING MONTHLY HEALTH LECTURES AT LOCAL SENIOR CENTERS, GENEROUSLY CONTRIBUTING TO COMMUNITY FUNDRAISING CAMPAIGNS SUCH AS UNITED WAY, PARTICIPATING IN MEDICAL MISSIONS, SERVING ON LOCAL NOT-FOR-PROFIT BOARDS, AND DONATING NONPERISHABLE GOODS TO NUMEROUS LOCAL FOOD PANTRIES AND CHURCHES - UNDERSCORING A KEY BENEFIT OF PROMEDICA BEING LOCALLY OWNED AND OPERATED. PROMEDICA'S MEMBER AND AFFILIATE HOSPITALS INCLUDE: THE TOLEDO HOSPITAL; TOLEDO CHILDREN'S HOSPITAL (OPERATING AS PART OF THE TOLEDO HOSPITAL); PROMEDICA WILDWOOD ORTHOPAEDIC AND SPINE HOSPITAL (A DIVISION OF THE TOLEDO HOSPITAL); FLOWER HOSPITAL; FOSTORIA HOSPITAL ASSOCIATION; DEFIANCE HOSPITAL, INC.; BAY PARK COMMUNITY HOSPITAL; HERRICK MEMORIAL HOSPITAL, INC.; EMMA L. BIXBY MEDICAL CENTER; MEMORIAL HOSPITAL; MERCY MEMORIAL HOSPITAL CORPORATION, AND ST. LUKE'S HOSPITAL. IN 2015, PROMEDICA ALSO PROVIDED INTEGRATED SERVICES, COMPRISED OF: - PROMEDICA CONTINUING CARE SERVICES CORPORATION, PROVIDING REHABILITATION, HOSPICE, HOME CARE, AMBULATORY AND SENIOR SERVICES, COMMUNITY HEALTH, MEDICAL TRANSPORTATION SERVICES, AND CARE COORDINATION. - PROMEDICA PHYSICIAN GROUP (PROMEDICA PHYSICIANS), WITH NEARLY 900 HEALTHCARE PROVIDERS, INCLUDING PRIMARY CARE, OBSTETRICS AND SPECIALTY PHYSICIANS, AS WELL AS ADVANCED PRACTICE PROVIDERS. TOGETHER, THIS GROUP HELPS PROMEDICA BROADEN THE CARE WE OFFER TO AREA RESIDENTS, INCLUDING IN SMALLER, OUTLYING COMMUNITIES. - PROMEDICA INSURANCE CORPORATION, THE LARGEST HEALTH MAINTENANCE ORGANIZATION PHYSICALLY LOCATED IN NORTHWEST OHIO. IN 2015, PARAMOUNT ADVANTAGE PROVIDED MEDICAID COVERAGE TO MORE THAN 227,000 MEMBERS ACROSS ALL OF OHIO'S 88 COUNTIES. - PROMEDICA INDEMNITY CORPORATION, PROVIDING MEDICAL PROFESSIONAL AND COMPREHENSIVE GENERAL LIABILITY COVERAGE FOR PROMEDICA, INCLUDING IN OUTLYING AREAS WHERE PRIMARY-CARE PHYSICIAN RECRUITMENT IS DIFFICULT. - TWELVE CONTROLLED FOUNDATIONS THAT SERVE AS FUNDRAISING ENTITIES FOR THEIR RESPECTIVE HOSPITALS/BUSINESS UNITS AND FACILITIES, SUCH AS THE EBEID HOSPICE RESIDENCE ON THE FLOWER HOSPITAL CAMPUS AND THE MARY ELLEN FALZONE DIABETES CENTER ON THE CAMPUS OF THE TOLEDO HOSPITAL. PROMEDICA'S SPECIALIZED CARE INCLUDES ONCOLOGY, ORTHOPAEDICS, HEART AND VASCULAR, NEUROLOGY, REHABILITATIVE, AND BEHAVIORAL MEDICINE, AS WELL AS WOMEN'S AND PEDIATRIC CARE. A FUNDAMENTAL PART OF OUR MISSION IS THAT OUR SERVICES ARE TAILORED TO THE NEEDS OF OUR COMMUNITIES AND THEY ARE AVAILABLE TO EVERYONE IN OUR COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION TO BEING A STRONG ADVOCATE FOR THE HEALTH AND WELL-BEING OF OTHERS, PROMEDICA PROVIDES AND PROMOTES COMMUNITY WELLNESS, COLLABORATING WITH MORE THAN 300 NONPROFIT AGENCIES AND ORGANIZATIONS ACROSS OUR REGION IN 2015 THAT HAD VALUES AND MISSIONS SIMILAR TO OUR OWN. PROMEDICA IS CONTINUALLY IMPROVING ITS SERVICES, FACILITIES, TECHNOLOGIES, AND OUTREACH EFFORTS TO MEET THE EVER-CHANGING NEEDS OF ITS DIVERSE POPULATIONS. IN DIRECT RESPONSE TO COMMUNITY NEEDS, A FEW EXAMPLES FROM 2015 INCLUDE THE FOLLOWING: - MERCY MEMORIAL HOSPITAL CORPORATION, IN MONROE, MICHIGAN, BECAME A MEMBER OF PROMEDICA EFFECTIVE JAN. 1, 2015. BY SHARING RESOURCES AND CLINICAL EXPERTISE, THIS NEW PARTNERSHIP HELPS BROADEN THE DEPTH AND BREADTH OF OUR SERVICES FOR RESIDENTS OF SOUTHEASTERN MICHIGAN. - PROMEDICA, ALONG WITH FIVE OTHER OHIO HOSPITALS, ESTABLISHED THE MIDWEST HEALTH COLLABORATIVE (MHC) TO IMPROVE THE VALUE OF HEALTHCARE SERVICES THROUGHOUT THE STATE. WHILE REMAINING INDEPENDENT, THESE SIX HEALTHCARE ORGANIZATIONS ARE WORKING TOGETHER TO ASSESS THE FEASIBILITY OF CREATING A STATEWIDE PROVIDER NETWORK, EXCHANGE BEST PRACTICES, SHARE RESOURCES, REDUCE COSTS, DEVELOP INNOVATIVE WAYS TO DELIVER HEALTH CARE ACROSS LARGE POPULATIONS, AND REDUCE CARE VARIATION. - IN 2015, PROMEDICA FINALIZED A COMPREHENSIVE AGREEMENT WITH THE UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE AND LIFE SCIENCES TO FORM AN ACADEMIC AFFILIATION WITH THE PURPOSE OF ADVANCING MEDICAL EDUCATION AND CLINICAL RESEARCH IN NORTHWEST OHIO. THE AFFILIATION WILL BUILD A LEGACY MODEL OF HEALTH CARE THAT WILL BENEFIT COMMUNITY MEMBERS ACROSS THE REGION FOR GENERATIONS TO COME. - PROMEDICA OPENED ITS FIRST URGENT CARE CENTERS IN OREGON AND PERRYSBURG, OHIO, TO SERVE PATIENTS WHO HAVE MEDICAL CONCERNS THAT DO NOT REQUIRE AN EMERGENCY CENTER. THE URGENT CARE CENTERS ARE OPEN 10 A.M. TO 10 P.M., 365 DAYS PER YEAR, AND ARE STAFFED BY HIGHLY-TRAINED CERTIFIED NURSE PRACTITIONERS. - PROMEDICA'S SUMMER YOUTH EMPLOYMENT PROGRAM PARTNERED 77 CENTRAL-CITY TEENS AGES 16 - 19 WITH MENTORS IN DEPARTMENTS SUCH AS HUMAN RESOURCES, RADIOLOGY, DIETARY, AND INFORMATION TECHNOLOGY TO LEARN SKILLS INCLUDING CUSTOMER SERVICE, PUNCTUALITY AND BEING ACCOUNTABLE TO OTHERS. - AS CHILDHOOD OBESITY CONTINUES TO BE AN IMPORTANT ISSUE IN OUR COMMUNITIES, BAY PARK COMMUNITY HOSPITAL BEGAN PILOTING A NEW HEALTH AND NUTRITION PROGRAM TO CHILDREN IN GRADES 2 - 5 IN ITS SERVICE AREA. THE PROGRAM FEATURES A BOARD GAME DEVELOPED BY PROMEDICA CALLED NUTREXITY, WHICH OFFERS A FUN WAY FOR KIDS TO LEARN ABOUT HEALTH, INCLUDING GOOD NUTRITION, EXERCISE ESSENTIALS, AND THE IMPORTANCE OF GIVING BACK TO THE COMMUNITY. - PROMEDICA PHYSICIANS EXPANDED CARE TO BETTER COVER LOCAL AND RURAL COMMUNITIES, ADDING MORE THAN 100 NEW PRIMARY CARE PHYSICIANS, SPECIALISTS AND ADVANCED PRACTICE PROVIDERS IN 2015. - PROMEDICA PARTICIPATED IN DOZENS OF COMMUNITY HEALTH FAIRS THAT INCLUDED APPROXIMATELY 7,500 FREE PUBLIC SCREENINGS FOR HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, BODY MASS INDEX AND BONE DENSITY. - AS PART OF ITS HUNGER-FREE INITIATIVE, PROMEDICA CONTINUED TO IMPLEMENT A FOOD RECLAMATION PROGRAM. MORE THAN 160,000 POUNDS OF FOOD HAVE BEEN RECLAIMED FROM PARTNERS SUCH AS HOLLYWOOD CASINO, THE TOLEDO HOSPITAL, FLOWER HOSPITAL, FIFTH THIRD FIELD, AND OWENS COMMUNITY COLLEGE SINCE THE PROGRAM STARTED IN 2013. - PROMEDICA'S COME TO THE TABLE HUNGER SUMMIT TOOK PLACE IN ALBUQUERQUE, NEW MEXICO IN JUNE AS PART OF PROMEDICA'S EFFORTS TO RAISE AWARENESS OF HUNGER AS A HEALTH ISSUE. PRESENTED BY PROMEDICA, THE ALLIANCE TO END HUNGER, AND PRESBYTERIAN HEALTHCARE SERVICES, THE SUMMIT FEATURED PERSPECTIVES FROM AN ARRAY OF EXPERTS, INCLUDING A KEYNOTE ADDRESS BY AUDREY ROWE, ADMINISTRATOR FOR THE FOOD AND NUTRITION SERVICE AT THE U.S. DEPARTMENT OF AGRICULTURE.
- PROMEDICA CANCER INSTITUTE'S (PCI) COMMUNITY OUTREACH INCLUDEDCANCER SCREENINGS AND EDUCATION TO THE MOST VULNERABLE IN OUR COMMUNITY. FREE SCREENING MAMMOGRAMS, AS WELL AS SKIN CANCER AND LUNG CANCER SCREENINGS WERE PROVIDED FOR EARLY DETECTION. PROSTATE CANCER SCREENING EDUCATION AND NUTRITIONAL PROGRAMS WERE DEVELOPED TO KEEP PEOPLE HEALTHY, AND A COLORECTAL CANCER EDUCATION EVENT TOOK PLACE AT HUNTINGTON CENTER. PCI ALSO HOSTED ANNUAL CANCER SURVIVOR CELEBRATIONS FOR SURVIVORS, FRIENDS AND CAREGIVERS ACROSS THE REGION AND SPONSORED COMMUNITY EVENTS INCLUDING THE ANNUAL NW OHIO SUSAN G. KOMEN, RACE FOR THE CURE AND AMERICAN CANCER SOCIETY RELAY FOR LIFE IN LUCAS COUNTY. - A NEW FOOD PHARMACY PILOT LAUNCHED, SERVING PATIENTS AT THE ADULT MEDICINE CLINIC AT PROMEDICA'S CENTER FOR HEALTH SERVICES (CHS) AND THE WW KNIGHT FAMILY MEDICINE PRACTICE. THE PROGRAM REFERS PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY TO RECEIVE FOOD FOR THEM AND THEIR FAMILY FROM THE FOOD PHARMACY LOCATED AT CHS. EACH PATIENT RECEIVES TWO TO THREE DAYS OF SUPPLEMENTAL FOOD FOR THEIR FAMILY. STARTING IN APRIL THROUGH DECEMBER 2015, APPROXIMATELY 1,400 REFERRALS WERE MADE TO THE FOOD PHARMACY, PROVIDING SUPPLEMENTAL FOOD TO MORE THAN 1,800 HOUSEHOLDS. - THROUGH ITS ADVOCACY FUND, PROMEDICA CONTINUED TO SUPPORT LOCAL COMMUNITY ORGANIZATIONS THAT PROVIDE ASSISTANCE TO THOSE IN NEED WITH BASIC NECESSITIES THAT DIRECTLY IMPACT INDIVIDUALS' HEALTH AND WELL-BEING. THIS SUPPORT AMOUNTED TO GRANTS TOTALING MORE THAN $315,000 IN 2015. - PROMEDICA AND THE AARP FOUNDATION (AARP'S AFFILIATED CHARITY) JOINED TOGETHER AS FOUNDING MEMBERS OF THE NEW NOT-FOR-PROFIT ORGANIZATION THE ROOT CAUSE COALITION. THE COALITION IS FOCUSED ON ADDRESSING HUNGER AS A PUBLIC HEALTH ISSUE AND OTHER SOCIAL DETERMINANTS OF HEALTH. - TO HELP MEET THE NEED FOR ADDITIONAL SCHOOL NURSES IN THE TOLEDO PUBLIC SCHOOL SYSTEM (TPS), PROMEDICA BEGAN FUNDING NINE ADDITIONAL SCHOOL NURSES, ENABLING ALL TPS ELEMENTARY SCHOOLS TO HAVE A FULL-TIME SCHOOL NURSE. STUDIES HAVE SHOWN THAT FULL-TIME NURSES IN PUBLIC SCHOOLS CAN HAVE A POSITIVE IMPACT ON HEALTH AND STRONG ACADEMIC OUTCOMES. OVER THE NEXT THREE YEARS, PROMEDICA AND TPS WILL TRACK AND EVALUATE STUDENT HEALTH STATISTICS TO DEVELOP A SUSTAINABILITY PLAN AND SUPPORT ONGOING FUNDING FOR THE PROGRAM. - PROMEDICA OPENED THE EBEID INSTITUTE'S NEW MARKET ON THE GREEN TO PROVIDE BETTER ACCESS TO HEALTHY FOODS IN A DESIGNATED FOOD DESERT, AS WELL AS JOB TRAINING OPPORTUNITIES FOR RESIDENTS IN THE UPTOWN TOLEDO NEIGHBORHOOD. THE INSTITUTE WAS MADE POSSIBLE THROUGH A GENEROUS DONATION FROM PROMEDICA BOARD MEMBER RUSSELL EBEID. - AFTER MORE THAN A YEAR OF PLANNING, BUILDING, TESTING AND TRAINING, PROMEDICA'S NEW ELECTRONIC HEALTH RECORD (EHR), EPIC, WENT LIVE WITH A SUCCESSFUL PILOT OF 20 PROMEDICA PHYSICIANS AND PROVIDERS. FOLLOWING EPIC'S METHODOLOGY, ADDITIONAL GO-LIVES ARE SCHEDULED THROUGH 2016 AND 2017 TO BRING ALL PROVIDERS, HOSPITALS AND SERVICES ON BOARD. THE NEW PLATFORM WILL FURTHER ENABLE ONE PATIENT, ONE RECORD, AND ONE BILL FOR PATIENTS REGARDLESS OF SERVICE PROVIDED OR THE LOCATION OF SERVICE ACROSS PROMEDICA. - TOLEDO AND TOLEDO CHILDREN'S HOSPITALS OPENED A NEW SURGERY SUITE TO INCREASE EFFICIENCY AND PROVIDE A BETTER EXPERIENCE FOR PATIENTS AND FAMILIES. IT INCLUDES 10 REPLACEMENT OPERATING ROOMS, LARGER PRE-OP AND RECOVERY AREAS, A NEW PEDIATRIC RECOVERY AREA, AND A NEW TEXT ALERT SYSTEM FOR WAITING FAMILIES. - IN COLLABORATION WITH HCR MANORCARE, THE NEW HEARTLAND AT PROMEDICA SKILLED NURSING AND REHABILITATION FACILITY OPENED ON THE CAMPUS OF FLOWER HOSPITAL. IT PROVIDES MEDICALLY COMPLEX AND INTENSIVE REHABILITATION SERVICES FOR SHORT-TERM PATIENTS TRANSITIONING BETWEEN HOSPITAL CARE AND HOME. - FLOWER HOSPITAL RADIOLOGY INSTALLED A NEW MRI SCANNER THAT PROVIDES INCREASED IMAGE RESOLUTION, RESULTING IN EXCELLENT IMAGE QUALITY AND PROVIDING PATIENTS WITH MORE ROOM DURING THE IMAGING PROCESS. ADDITIONALLY IT CAN ACCOMMODATE PATIENTS WEIGHING UP TO 550 LBS. (250 KG) AND ITS SHORT, WIDE BORE DESIGN HELPS REDUCE PATIENT ANXIETY AND INCREASES PATIENT COMFORT. - PROMEDICA DESIGNATED CLEVELAND CLINIC LABORATORIES (CCL) AS ITS NEW PRIMARY REFERENCE LAB, ALLOWING CCL TO PERFORM THE 1% OF HIGHLY SPECIALIZED LABORATORY TESTING THAT CANNOT BE PERFORMED BY PROMEDICA LABS. CCL IS ONE OF THE TOP SIX PRIMARY REFERENCE LABORATORIES IN THE COUNTRY, PROVIDING HIGH-QUALITY, STATE-OF-THE-ART DIAGNOSTIC SERVICES TO PHYSICIANS AND HEALTHCARE FACILITIES NATIONWIDE. THE NEW COLLABORATION OFFERS EFFICIENT, COST EFFECTIVE AND COORDINATED CARE ACROSS THE REGION FOR OUR PATIENTS. - ST. LUKE'S HOSPITAL ACHIEVED NICHE (NURSES IMPROVING CARE FOR HEALTH SYSTEM ELDERS) DESIGNATION. NICHE IS A NATIONAL, NURSING-DRIVEN PROGRAM DESIGNED TO HELP HOSPITALS AND HEALTHCARE ORGANIZATIONS IMPROVE THE CARE PROVIDED TO OLDER ADULTS. - THE HICKMAN CANCER CENTER AT FLOWER HOSPITAL WAS EXPANDED TO A TOTAL OF 32 TREATMENT BAYS, INCLUDING FOUR BEDS TO INCREASE PATIENT COMFORT DURING TREATMENT AND TWO ADDITIONAL EXAM ROOMS TO IMPROVE PATIENT FLOW AT THE CENTER. - PROMEDICA, IN PARTNERSHIP WITH HARBOR, A REGIONAL BEHAVIORAL HEALTH AGENCY, IMPLEMENTED A TELEPSYCH PROGRAM TO ASSIST IN CARING FOR INPATIENTS AT BOTH THE EMMA L. BIXBY MEDICAL CENTER AND HERRICK HOSPITAL CAMPUSES AS WELL AS IN BOTH OUTPATIENT MENTAL HEALTH FACILITIES. - POSITIONED TO BE A REGIONAL LEADER IN RESEARCH AND INNOVATIONS, PROMEDICA PARTICIPATED IN MORE THAN 160 INDUSTRY-SPONSORED CLINICAL RESEARCH TRIALS AS WELL AS MORE THAN 60 INTERNAL RESEARCH PROJECTS CONDUCTED BY PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS. ADDITIONALLY, PROMEDICA'S MEDICAL TECHNOLOGY BUSINESS INCUBATOR ALLOWS CLIENT COMPANIES IN THE HEALTHCARE FIELD TO ACCELERATE DEVELOPMENT AND COMMERCIALIZATION OF MEDICAL DEVICES AND HEALTH INFORMATION TECHNOLOGY TO IMPROVE PATIENT CARE LOCALLY AND NATIONALLY. IN 2015, PROMEDICA CONTRIBUTED $198,749,000 IN COMMUNITY BENEFIT THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THESE NUMBERS NOT ONLY INDICATE PROMEDICA'S LONG-STANDING COMMITMENT TO THE COMMUNITY, BUT ALSO FULFILL OUR NOT-FOR-PROFIT STATUS BY IMPROVING THE HEALTH AND WELL-BEING OF RESIDENTS IN THE COMMUNITIES WE SERVE. SPECIFICALLY, THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, PROMEDICA CONTRIBUTED $60,815,000 IN 2015. THESE PROGRAMS INCLUDED FREE COMMUNITY HEALTH SCREENINGS, SUCH AS DIABETES TESTING, BLOOD PRESSURE, BONE DENSITY, BODY MASS, AND CANCER CHECKUPS; MAMMOGRAM SCREENINGS FOR LOW-INCOME AND UNINSURED WOMEN; CHILDHOOD IMMUNIZATIONS; REDUCED-COST SCHOOL-ATHLETIC PHYSICALS; FIRST-AID COVERAGE AT COMMUNITY EVENTS; VOLUNTEER ELEMENTARY SCHOOL MENTORS; PUBLIC HEALTH EDUCATION LECTURES AND SEMINARS; A CHILDHOOD OBESITY PROGRAM; AND MANY OTHER COMMUNITY-BASED INITIATIVES. PROMEDICA ALSO CONTRIBUTED $18,122,000 IN FINANCIAL ASSISTANCE FOR PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. THIS AMOUNT REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. IN ADDITION, PROMEDICA'S COST OF BAD DEBT FOR 2015 WAS $21,472,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $198,749,000 NOTED ABOVE. FURTHER, PROMEDICA CONTINUES TO BE A LEADING PARTICIPANT IN THE LUCAS COUNTY CARENET INITIATIVE - A COLLABORATIVE EFFORT AMONG PROMEDICA, MERCY HEALTH PARTNERS, THE UNIVERSITY OF TOLEDO MEDICAL CENTER, THE CITY OF TOLEDO, AND OTHERS. CARENET WAS CREATED TO PROVIDE FREE OR LOWER-COST HEALTH CARE FOR LOW-INCOME LUCAS COUNTY RESIDENTS. ESTABLISHED IN 2003, CARENET BRIDGES THE GAP BETWEEN ADULTS WITHOUT HEALTH INSURANCE AND NEEDED HEALTHCARE SERVICES. WHILE SOME INDIVIDUALS MAY QUALIFY FOR GOVERNMENTAL INSURANCE PROGRAMS SUCH AS MEDICAID, OTHERS DO NOT; IT IS FOR THESE INDIVIDUALS THAT CARENET WAS ESTABLISHED. ADDITIONALLY DURING 2015, PROMEDICA PROVIDED $119,812,000 OF COMMUNITY BENEFIT THROUGH THE COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS-TESTED PATIENTS. PROMEDICA'S TOTAL COST - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS DURING 2015 WAS $111,127,000 AND IS NOT REFLECTED IN THE COMMUNITY BENEFIT AMOUNT OF $198,749,000 NOTED ABOVE. INDEED, PROMEDICA GOES BEYOND INDUSTRY STANDARDS IN MEETING THE GOAL OF PROVIDING CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. WE PROVIDE HOSPITAL CARE FREE-OF-CHARGE TO ALL FAMILIES WITHOUT INSURANCE WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN ADDITION TO FREE CARE FOR THOSE FAMILIES UNDER THIS FEDERAL POVERTY LEVEL, PROMEDICA HOSPITALS PROVIDE SIGNIFICANT DISCOUNTS TO FAMILIES WITH INCOMES OF UP TO 400% OF THE FEDERAL POVERTY LEVEL.
IN MANY SITUATIONS, OTHER FUNDING SOURCES ARE SECURED ANDACCOMMODATIONS MADE. PROMEDICA'S POLICIES ARE POSTED AND AVAILABLE IN WRITING IN ALL PROMEDICA FACILITIES. ALSO, FINANCIAL ADVOCATES ARE AVAILABLE TO HELP PATIENTS BY EXPLAINING OUR FREE CARE AND DISCOUNT PROGRAMS, AND TO ASSIST WITH THE PAPERWORK NECESSARY TO QUALIFY FOR GOVERNMENT FUNDING. PATIENT BILLS PROVIDE CLEAR EXPLANATIONS, QUALIFICATIONS AND REMINDERS OF THESE PROGRAMS. IN SUMMARY, PROMEDICA DEMONSTRATES ITS MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
DEFIANCE HOSPITAL, INC. - PROGRAM SERVICE ACCOMPLISHMENTSDEFIANCE HOSPITAL, INC. (D/B/A PROMEDICA DEFIANCE REGIONAL HOSPITAL) IS A MEMBER OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION-BASED, LOCALLY OWNED, NONPROFIT HEALTHCARE ORGANIZATION HIGHLY FOCUSED ON ACHIEVING CORE VALUES. HEADQUARTERED IN TOLEDO, OHIO, PROMEDICA SERVES 27 COUNTIES IN NORTHWEST OHIO AND SOUTHEAST MICHIGAN, AND IS ONE OF THE REGION'S LEADING HEALTHCARE PROVIDERS. OUR STEWARDSHIP OF RESOURCES HAS ENABLED US TO WISELY INVEST IN PATIENT-CENTERED CARE, ADVANCED TECHNOLOGY, INNOVATIVE PROGRAMS, AND FAMILY-ORIENTED FACILITIES THAT HELP TO ENSURE PATIENTS AND AREA RESIDENTS HAVE EQUAL ACCESS TO HIGH-QUALITY, SAFE CARE IN THE MOST APPROPRIATE SETTING, REGARDLESS OF PATIENTS' ABILITY TO PAY. PROMEDICA DEFIANCE REGIONAL HOSPITAL (DRH) IS A 25-BED, CRITICAL ACCESS, GENERAL ACUTE CARE HOSPITAL IN DEFIANCE, OHIO WITH A 10-BED, DISTINCT PSYCHIATRIC UNIT. THE 200,000-SQUARE-FOOT FACILITY PROVIDES HEALTHCARE SERVICES TO RESIDENTS IN THE OHIO COUNTIES OF DEFIANCE, PAULDING, HENRY, FULTON, PUTNAM, AND WILLIAMS. IN 2015, DRH RECEIVED FIVE STARS IN THE FIRST EVER HOSPITAL COMPARE STAR RATINGS, RELEASED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). ADDITIONALLY IN 2015, DRH RECEIVED THE PRESS GANEY PINNACLE OF EXCELLENCE AWARD FOR EMPLOYEE ENGAGEMENT. THIS AWARD IS BASED UPON CONSISTENTLY HIGH LEVELS OF EXCELLENCE FOR THREE YEARS IN EMPLOYEE ENGAGEMENT. DRH OFFERS A BROAD SPECTRUM OF SERVICES TO MEET THE COMMUNITY'S IDENTIFIED HEALTHCARE NEEDS, INCLUDING FULL-SERVICE EMERGENCY CENTER AND TRAUMA SERVICES, SURGICAL SERVICES, PAIN MANAGEMENT, HEALTH EDUCATION PROGRAMMING, VARIOUS PSYCHIATRIC SERVICES, ADVANCED DIAGNOSTICS, WOMEN'S SERVICES, AND A SLEEP DISORDERS CENTER. AS A TESTAMENT TO OUR COMMITMENT TO PROVIDE HIGH-QUALITY CARE TO AREA RESIDENTS, DRH ALSO OFFERS AN EXPANDED VISITING PHYSICIAN CLINIC INCLUDING UROLOGY AND OTHER SPECIALTIES AND SUBSPECIALTIES. AS A COMMUNITY-BASED HOSPITAL, DRH HOSTS VARIOUS SUPPORT GROUPS AND COMMUNITY OUTREACH ACTIVITIES TO PROMOTE HEALTH AND WELLNESS, INCLUDING VARIOUS PROGRAMS FOR NEW MOTHERS AND FAMILIES THROUGHOUT THE YEAR. IN ADDITION, NUMEROUS PRIMARY CARE AND SPECIALTY PHYSICIANS ARE LOCATED IN OUR MEDICAL OFFICE BUILDING, AS WELL AS IN THE MEDICAL OFFICE IN THE NORTH POINTE COMMONS PLAZA. DRH IS ACCREDITED BY THE JOINT COMMISSION AND ALSO HAS EARNED LEVEL III TRAUMA CENTER VERIFICATION, CHEST PAIN CENTER ACCREDITATION, SLEEP MEDICINE ACCREDITATION, A LEVEL I OBSTETRICS AND NEWBORN NURSERY UNIT, AND LABORATORY ACCREDITATION BY THE COMMISSION ON LABORATORY ACCREDITATION OF THE COLLEGE OF AMERICAN PATHOLOGISTS. DRH'S CHARGE IS TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE INDIVIDUALS WHOM WE SERVE THROUGH PREVENTION, EDUCATION AND QUALITY CARE. IN 2015, DRH SERVED 2,734 INPATIENTS AND 77,050 OUTPATIENTS. ADDITIONALLY, 14,994 INDIVIDUALS SOUGHT EMERGENCY CARE AT DRH. THE HOSPITAL CONTRIBUTED $4,426,000 IN COMMUNITY BENEFIT IN 2015 THROUGH COMMUNITY BENEFIT EXPENDITURES, FINANCIAL ASSISTANCE AND GOVERNMENT-SPONSORED, MEANS-TESTED HEALTH CARE. THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, CASH AND IN-KIND CONTRIBUTIONS, AND OTHER COMMUNITY BENEFIT OPERATIONS, DRH CONTRIBUTED $7,000 TO THE COMMUNITY DURING 2015. INCLUDED IN THIS AMOUNT ARE PROGRAMS AND SERVICES SUCH AS: - COMMUNITY HEALTH EDUCATION THROUGH MYRIAD HEALTH PROMOTIONS AND WELLNESS PROGRAMS; - A DISCOUNTED MAMMOGRAM PROGRAM FOR UNINSURED AND UNDERINSURED WOMEN IN THE DEFIANCE AREA; - HEALTH SCREENINGS, INCLUDING BLOOD PRESSURE, HEARING, SKIN CANCER, BONE DENSITY, AND BODY FAT; - OCCUHEALTH(TM), DRH'S OCCUPATIONAL HEALTH PROGRAM, WHICH WORKS CLOSELY WITH AREA EMPLOYERS TO PLAN AND COORDINATE HEALTH SERVICES THAT MEET EMPLOYEES' NEEDS; AND - WEIGHT MANAGEMENT AND SMOKING CESSATION PROGRAMS. DRH ALSO PROVIDED FINANCIAL ASSISTANCE TO THE COMMUNITY THROUGHOUT 2015, OF WHICH $61,000 REPRESENTED UNCOMPENSATED AMOUNTS FOR TREATMENT OF PATIENTS WHO DID NOT HAVE THE FINANCIAL RESOURCES TO PAY FOR HOSPITAL SERVICES. FINANCIAL ASSISTANCE REPRESENTS THE COST TO PROVIDE SERVICE AND DOES NOT INCLUDE THE COSTS FOR ACCOUNTS WRITTEN OFF TO BAD DEBT FOR PATIENTS WHO DO NOT PAY THEIR BILLS. DRH'S COST OF BAD DEBT FOR 2015 WAS $834,000. THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $4,426,000 NOTED ABOVE. FURTHER, DRH PROVIDED $4,358,000 OF COMMUNITY BENEFIT THROUGH COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICAID AND OTHER MEANS-TESTED PATIENTS. ALSO IN 2015, THE TOTAL COSTS - NOT REIMBURSED BY THE GOVERNMENT - FOR TREATING MEDICARE PATIENTS WAS $991,000 AND IS NOT INCLUDED IN THE COMMUNITY BENEFIT AMOUNT OF $4,426,000 NOTED ABOVE. DURING 2015, DRH EXPENDED $11,429,000 IN NET PAYROLL, PROVIDING 337 FULL-TIME JOBS. A TOTAL OF $718,000 WAS WITHHELD FROM HOSPITAL EMPLOYEES IN STATE AND LOCAL TAXES. IN SUMMARY, DRH DEMONSTRATES PROMEDICA'S MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL PATIENTS, REGARDLESS OF THEIR RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, OR AGE. AND, WE RECOGNIZE THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL CARE. THEREFORE, WE PROVIDE THESE HEALTHCARE SERVICES; RECRUIT AND TRAIN HEALTHCARE PROFESSIONALS TO SERVE THE BROADER COMMUNITY; PROVIDE APPROPRIATE FINANCIAL ASSISTANCE; OFFER SERVICES AND CONTRIBUTIONS TO OTHER NONPROFIT ORGANIZATIONS THAT ALLOW THEM TO PROVIDE KEY SERVICES TO THEIR CONSTITUENTS; AND PRESENT FREE EDUCATIONAL CLASSES, HEALTH FAIRS AND OTHER OUTREACH ACTIVITIES TO OUR LOCAL COMMUNITY TO HELP ENSURE ALL MEMBERS HAVE EQUAL ACCESS TO CARE.
COMMUNITY BENEFIT DEFINITIONSPROMEDICA HEALTH SYSTEM, INC. AND ITS SUBSIDIARIES (PROMEDICA) PREPARES ITS COMMUNITY BENEFIT REPORTS USING REPORTING GUIDELINES PUBLISHED BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES AND CONSISTENT WITH FORM 990, SCHEDULE H, HOSPITALS, REPORTING. COMMUNITY BENEFITS ARE PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. COMMUNITY BENEFITS REPORTED BY PROMEDICA RESPOND TO IDENTIFIED COMMUNITY NEEDS AND MEET AT LEAST ONE OF THE FOLLOWING CRITERIA: - IMPROVE ACCESS TO HEALTHCARE SERVICE. - ENHANCE THE HEALTH OF THE COMMUNITY. - ADVANCE HEALTHCARE KNOWLEDGE. - RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER COMMUNITY EFFORTS. FINANCIAL ASSISTANCE CONSISTENT WITH ITS MISSION, PROMEDICA PROVIDES A SIGNIFICANT AMOUNT OF FINANCIAL ASSISTANCE TO PATIENTS WITH LIMITED OR NO ABILITY TO PAY THEIR BILL. PROMEDICA HOSPITALS PROVIDE FREE CARE TO THOSE UNINSURED PATIENTS WITH INCOMES UP TO 200% OF THE FEDERAL POVERTY LEVEL. SIGNIFICANT DISCOUNTS ARE ALSO PROVIDED ON A SLIDING SCALE TO UNINSURED PATIENTS UP TO 400% OF THE FEDERAL POVERTY LEVEL. FINANCIAL ASSISTANCE IS REPORTED IN THE FORM OF COST TO PROVIDE SERVICES AND HAS BEEN REDUCED TO REFLECT REIMBURSEMENT RECEIVED FROM STATE PROGRAMS DESIGNED TO RELIEVE THE BURDEN OF PROVIDING FINANCIAL ASSISTANCE. THE COST OF FINANCIAL ASSISTANCE DOES NOT INCLUDE THE COSTS FOR ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT FOR PATIENTS THAT DO NOT PAY THEIR BILL. GOVERNMENT-SPONSORED HEALTH CARE GOVERNMENT-SPONSORED HEALTH CARE INCLUDE SERVICES THAT ARE REIMBURSED OR PARTIALLY REIMBURSED THROUGH FEDERAL, STATE AND LOCAL MEANS-TESTED PROGRAMS SUCH AS MEDICAID. PROMEDICA INCLUDES THE UNPAID COSTS OF THESE PUBLIC PROGRAMS TO THE EXTENT THAT PAYMENTS RECEIVED ARE LESS THAN THE COSTS OF PROVIDING SERVICES. THE UNPAID COSTS OF TREATING MEDICARE PATIENTS IS REPORTED SEPARATELY AND IS NOT INCLUDED IN PROMEDICA'S COMMUNITY BENEFIT REPORT. ADDITIONALLY, THE COST OF FINANCIAL ASSISTANCE HAS BEEN ELIMINATED FROM ANY AMOUNTS REPORTED IN THIS CATEGORY. COMMUNITY HEALTH IMPROVEMENT SERVICES & COMMUNITY BENEFIT OPERATIONS COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE ACTIVITIES CARRIED OUT FOR THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH. THESE ACTIVITIES DO NOT GENERATE INPATIENT OR OUTPATIENT BILLS AS THEY EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY PROMEDICA. COMMUNITY BENEFIT OPERATIONS INCLUDE COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEED AND/OR ASSESSMENT, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT PLANNING AND ADMINISTRATION. HEALTH PROFESSIONS EDUCATION HEALTH PROFESSIONS EDUCATION INCLUDE COSTS FOR ALL EDUCATIONAL PROGRAMS PROMEDICA IS INVOLVED WITH, THE PROVISION OF A CLINICAL SETTING FOR TRAINING FOR HEALTHCARE STUDENTS OUTSIDE THE ORGANIZATION, AND FUNDING FOR HEALTHCARE EDUCATION. SUBSIDIZED HEALTH SERVICES SUBSIDIZED HEALTH SERVICES ARE SERVICES PROVIDED TO THE COMMUNITY DESPITE A FINANCIAL LOSS. THESE SERVICES GENERATE A BILL FOR REIMBURSEMENT, AND INCLUDE CLINICAL PATIENT CARE SERVICES THAT ARE PROVIDED BECAUSE THEY ARE NEEDED IN THE COMMUNITY AND OTHER PROVIDERS ARE UNWILLING, OR UNABLE, TO PROVIDE THE SERVICES, OR THE SERVICES OTHERWISE WOULD NOT BE AVAILABLE TO MEET COMMUNITY NEEDS. RESEARCH RESEARCH ACTIVITIES INCLUDE CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTHCARE DELIVERY. THE AMOUNT REPORTED FOR PROMEDICA IS REDUCED BY ANY EXTERNAL SUBSIDIES, SUCH AS GRANTS. CASH AND IN-KIND CONTRIBUTIONS CASH AND IN-KIND CONTRIBUTIONS INCLUDE FUNDS AND IN-KIND SERVICES DONATED TO COMMUNITY ORGANIZATIONS AND THE COMMUNITY AT LARGE. IN-KIND SERVICES INCLUDE HOURS DONATED BY STAFF FOR COMMUNITY NEEDS WHILE ON WORK TIME; AS WELL AS DONATIONS OF FOOD, EQUIPMENT AND SUPPLIES.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COBRA VENTURES LLC
5901 MONCLOVA RDMAUMEEOH43537204671613LAND LEASINGOH$5,510$94,354ST LUKE'S HOSPITAL FOUNDATION
MIDWEST CARDIOVASCULAR CONSULTANTS LLC
5855 MONROE STSYLVANIAOH43560611448753EMPLOYS PHYSICIANSOH$0$535,504PROMEDICA PHYSICIAN GROUP
PROMEDICA CENTRAL PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560341881137EMPLOYS PHYSICIANSOH$231,170,716$291,204,025PROMEDICA PHYSICIAN GROUP
PROMEDICA EAST PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560341881145EMPLOYS PHYSICIANSOH$7,735,386-$1,576,704PROMEDICA PHYSICIAN GROUP
PROMEDICA WEST PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560341893773EMPLOYS PHYSICIANSOH$15,982,568-$8,068,901PROMEDICA PHYSICIAN GROUP
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC
5855 MONROE STSYLVANIAOH43560263888045EMPLOYS PHYSICIANSOH$30,141,070-$56,519,329PROMEDICA PHYSICIAN GROUP
PROMEDICA CARDIOTHORACIC PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560270978204EMPLOYS PHYSICIANSOH$5,936,506-$9,670,745PROMEDICA PHYSICIAN GROUP
WELLCARE PHYSICIANS LLC
5901 MONCLOVA RDMAUMEEOH43537611528443EMPLOYS PHYSICIANSOH$16,368,856$8,878,730PROMEDICA PHYSICIAN GROUP
THE PHARMACY COUNTER LLC
5855 MONROE STSYLVANIAOH43560271325141MEDICAL EQUIPMENT & PHARMACYOH$60,641,144$17,065,865PROMEDICA PHYSICIAN GROUP
WOLF CREEK ASSOCIATES LLC
901 KIMOLE LNADRIANMI49221383164818FACILITY LEASINGMI$131,432$1,308,580EMMA L BIXBY MEDICAL CENTER
PROMEDICA MONROE CARDIOLOGY PLLC
5855 MONROE STSYLVANIAOH43560272920342EMPLOYS PHYSICIANSMI$2,425,382-$3,059,070PROMEDICA PHYSICIAN GROUP
ERIE WEST HOSPICE & PALLIATIVE CARE LLC
5855 MONROE STSYLVANIAOH43560205752995PROVIDES HOSPICE CAREOH$4,709,330$7,039,875PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
PROMEDICA ANESTHESIA CONSULTANTS LLC
5855 MONROE STSYLVANIAOH43560453251737EMPLOYS PHYSICIANSOH$30,303,052-$44,305,935PROMEDICA PHYSICIAN GROUP
PROMEDICA PHYSICIANS MANAGEMENT SERVICES LLC
5855 MONROE STSYLVANIAOH43560453230331PRACTICE MANAGEMENTOH$0-$2,356,472PROMEDICA PHYSICIAN GROUP
PROMEDICA SURGICAL SERVICES LLC
5855 MONROE STSYLVANIAOH43560EMPLOYS PHYSICIANSOH$0$0PROMEDICA PHYSICIAN GROUP
MISSION POINTE GOLF COURSE LLC
2142 NORTH COVETOLEDOOH43606GOLF COURSEOH$0$391,382PROMEDICA FOUNDATION
PROMEDICA INNOVATIONS LLC
1801 RICHARDS RDTOLEDOOH43607INVESTMENT COMPANYOH$0$0PROMEDICA HEALTH SYSTEM INC
PROMEDICA GENITO-URINARY SURGEONS LLC
5855 MONROE STSYLVANIAOH43560461120436EMPLOYS PHYSICIANSOH$11,558,436-$14,936,580PROMEDICA PHYSICIAN GROUP
PROMEDICA MONROE PHYSICIANS PLLC
5855 MONROE STSYLVANIAOH43560461111822EMPLOYS PHYSICIANSMI$27,275-$757,452PROMEDICA PHYSICIAN GROUP
PROMEDICA MULTI-SPECIALTY PHYSICIANS LLC
5855 MONROE STSYLVANIAOH43560454976786EMPLOYS PHYSICIANSOH$0$159,481PROMEDICA PHYSICIAN GROUP
PROMEDICA HOSPITALISTS LLC
5855 MONROE STSYLVANIAOH43560EMPLOYS PHYSICIANSOH$0$0PROMEDICA PHYSICIAN GROUP
PROMEDICA HOSPITALISTS PLLC
5855 MONROE STSYLVANIAOH43560EMPLOYS PHYSICIANSMI$0$0PROMEDICA PHYSICIAN GROUP
MEMORIAL ANESTHESIA LTD
715 SOUTH TAFT AVEFREMONTOH43420205763680EMPLOYS PHYSICIANSOH$0$0PROMEDICA PHYSICIAN GROUP
MEMORIAL PROFESSIONAL SERVICES LTD
715 SOUTH TAFT AVEFREMONTOH43420273763993EMPLOYS PHYSICIANSOH$10,132,691-$381,185PROMEDICA PHYSICIAN GROUP
PHS VENTURES LLC
1801 RICHARDS RDTOLEDOOH43607341880473HEALTH CARE MANAGEMENT SERVICESDE$0$0PROMEDICA HEALTH SYSTEM INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
BAY PARK COMMUNITY HOSPITAL
2801 BAY PARK DROREGONOH43616341883132HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
CARE ENTERPRISES INC
5901 MONCLOVA RDMAUMEEOH43537341366709FACILITY LEASINGOH501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
DEFIANCE HOSPITAL AUXILIARY
1200 RALSTONDEFIANCEOH43512510173779HOSPITAL / FOUNDATION SUPPORTOH501(C)(3)11D, III-ODEFIANCE HOSPITAL INCYes (1)
EMMA L BIXBY MEDICAL CENTER
818 RIVERSIDE AVEADRIANMI49221382796005HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
EMMA L BIXBY MEDICAL CENTER AUXILIARY
818 RIVERSIDE AVEADRIANMI49221382149602HOSPITAL / FOUNDATION SUPPORTMI501(C)(3)11B, IIEMMA L BIXBY MEDICAL CENTERYes (1)
FLOWER HOSPITAL
5200 HARROUN RDSYLVANIAOH43560344428794HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
FOSTORIA HOSPITAL ASSOCIATION
501 VAN BUREN STREETFOSTORIAOH44830340898745HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
FOSTORIA HOSPITAL AUXILIARY
PO BOX 907FOSTORIAOH44830346517634HOSPITAL / FOUNDATION SUPPORTOH501(C)(3)11A, IFOSTORIA HOSPITAL ASSOCIATIONYes (1)
HERRICK MEDICAL CENTER AUXILIARY
500 E POTTAWATAMIE STTECUMSEHMI49286383076105HOSPITAL / FOUNDATION SUPPORTMI501(C)(3)11B, IIHERRICK MEMORIAL HOSPITAL INCYes (1)
HERRICK MEMORIAL HOSPITAL INC
500 E POTTAWATAMIE STTECUMSEHMI49286383049015HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
LENAWEE LONG TERM CARE
700 LAKESHIRE TRADRIANMI49221382879330LONG TERM CAREMI501(C)(3)9EMMA L BIXBY MEDICAL CENTERYes (1)
PROMEDICA CONTINUING CARE SERVICES CORP
5855 MONROE STSYLVANIAOH43560344492440LONG TERM AND HOME HEALTH CAREOH501(C)(3)9PROMEDICA PHYSICIANS AND CONTINUUM SERVICESYes (1)
PROMEDICA COURIER SERVICES INC
3170 W CENTRAL AVETOLEDOOH43606260324790COURIER SERVICEOH501(C)(3)11B, IIPROMEDICA PHYSICIANS AND CONTINUUM SERVICESYes (1)
PROMEDICA HEALTH SYSTEM INC
1801 RICHARDS RDTOLEDOOH43607341517671PARENT COMPANY OF HEALTH SYSTEMOH501(C)(3)11B, II0N/A
PROMEDICA INDEMNITY CORP
ONE CHURCH ST 5TH FLOORBURLINGTONVT05401341931936PROFESSIONAL & GENERAL LIABILITYVT501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA PHYSICIANS AND CONTINUUM SERVICES
5855 MONROE STSYLVANIAOH43560341880767PHYSICIAN MANAGEMENT SERVICESOH501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA PHYSICIAN GROUP
5855 MONROE STSYLVANIAOH43560341899439PHYSICIAN HEALTH CARE SERVICESOH501(C)(3)9PROMEDICA PHYSICIANS AND CONTINUUM SERVICESYes (1)
ST LUKE'S HOSPITAL
5901 MONCLOVA RDMAUMEEOH43537344428232HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
ST LUKE'S HOSPITAL FOUNDATION
5901 MONCLOVA RDMAUMEEOH43537341292849FOUNDATIONOH501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
PROMEDICA FOUNDATION
2142 N COVE BLVDTOLEDOOH43606341517672FOUNDATIONOH501(C)(3)11B, IIPROMEDICA HEALTH SYSTEM INCYes (1)
THE TOLEDO HOSPITAL
2142 N COVE BLVDTOLEDOOH43606344428256HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
TOLEDO DISTRICT NURSE ASSOCIATION
1946 N 13TH STREETTOLEDOOH43624344427949SKILLED HOME CAREOH501(C)(3)9PROMEDICA PHYSICIANS AND CONTINUUM SERVICESYes (1)
VISITING NURSE HOSPICE AND HEALTH CARE
5855 MONROE STSYLVANIAOH43560341831624HOSPICE HOME CAREOH501(C)(3)9PROMEDICA PHYSICIANS AND CONTINUUM SERVICESYes (1)
KAITLYN'S COTTAGE INC
1260 RALSTON AVEDEFIANCEOH43512454781053RESPITE CAREOH501(C)(3)9DEFIANCE HOSPITAL INCYes (1)
MEMORIAL HOSPITAL
715 SOUTH TAFT AVEFREMONTOH43420344430849HOSPITALOH501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
MONROE CANCER CENTER
800 STEWART RDMONROEMI48162271302183CANCER CENTERMI501(C)(3)9MERCY MEMORIAL HOSPITAL CORPORATIONYes (1)
MONROE COMMUNITY HEALTH SERVICES
718 N MACOMBMONROEMI48162382934134LONG TERM CAREMI501(C)(3)9MERCY MEMORIAL HOSPITAL CORPORATIONYes (1)
MERCY MEMORIAL HOSPITAL CORPORATION
718 N MACOMBMONROEMI48162381984289HOSPITALMI501(C)(3)3PROMEDICA HEALTH SYSTEM INCYes (1)
PARAMOUNT ADVANTAGE
1901 INDIAN WOOD CIRMAUMEEOH43537203376102HEALTH INSURANCEOH501(C)(3)9PROMEDICA INSURANCE CORP INC AND SUBSIDIARIESYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
BIXBY MEDICAL OFFICE LIMITED PARTNERSHIP
818 RIVERSIDE AVEADRIANMI49221382972398FACILITY LEASINGMIEMMA L BIXBY MEDICAL CENTERRELATED$36,791$1,173,7760Yes (1)0.64600
REYNOLDS RD SURGICAL CENTER LLC
2865 N REYNOLDS RDTOLEDOOH43615311569454FREESTANDING AMBULATORY SURGICAL CENTEROHTHE TOLEDO HOSPITALRELATED$726,688$2,333,126000.65040
WATERVILLE MEDICAL CENTER LLC
5901 MONCLOVA RDMAUMEEOH43537320160784FACILITY LEASINGOHCARE ENTERPRISES INCRELATED$32,184$753,658000.70000
NORTHWEST OHIO DEDICATED BREAST MRI LLC
5901 MONCLOVA RDMAUMEEOH43537260679898MEDICAL DIAGNOSTICSOHTHE TOLEDO HOSPITALRELATED$211,264$449,126000.50000
WEST CENTRAL SURGICAL CENTER LLC
7055 W CENTRALTOLEDOOH43617200088459AMBULATORY SURGICAL CENTEROHTHE TOLEDO HOSPITALRELATED$298,291$2,912,4570Yes (1)0.50000
OHIO CARE AMBULATORY SURGICAL CENTER LLC
5959 MONCLOVA RDMAUMEEOH43537341863472AMBULATORY SURGICAL CENTEROHST LUKE'S HOSPITALRELATED$73,215$1,293,530000.54680
LENAWEE PHYSICIAN HOSPITAL ORGANIZATION LLC
818 RIVERSIDE AVEADRIANMI49221383605511PHYSICIAN MANAGEMENT SERVICESMIEMMA L BIXBY MEDICAL CENTERRELATED-$23,464$253,4700Yes (1)0.50000
PROMEDICA SURGICAL SERVICES CO-MANAGEMENT CO LLC
5901 MONCLOVA RDMAUMEEOH43537461989695PHYSICIAN MANAGEMENT SERVICESOHPROMEDICA HEALTH SYSTEM INCRELATED$743,257$816,423000.51920
EAST-WEST HOLDINGS LTD
715 SOUTH TAFT AVEFREMONTOH43420204066818REAL ESTATEOHMEMORIAL HOSPITALRELATED$6,016$306,259000.50000
SURGICAL INSTITUTE OF MONROE LLC
1051 S TELEGRAPH RDMONROEMI48161270843485AMBULATORY SURGICAL CENTERMIPROMEDICA PHYSICIANS AND CONTINUUM SERVICESRELATED$4,044$3,684,750000.54000
PROMEDICA MASTER TENANT LLC
1801 RICHARDS RDTOLEDOOH43607475288490REAL ESTATEOHPROMEDICA MANAGER MEMBER LLCRELATED$103,3280Yes (1)0.01000
PROMEDICA DOWNTOWN CAMPUS LANDLORD LLC
1801 RICHARDS RDTOLEDOOH43607473163945REAL ESTATEOHPROMEDICA MANAGER MEMBER LLCRELATED$22,771,2160Yes (1)0.90000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmt
CARE HOLDINGS
5901 MONCLOVA RDMAUMEEOH43537341796790HOLDING COMPANYOHPROMEDICA HEALTH SYSTEM INCC1.00000Yes (1)
HERRICK MEMORIAL DEVELOPMENT CORP
500 E POTTAWATAMIE TRADRIANMI49221383146907FACILITY LEASINGMIEMMA L BIXBY MEDICAL CENTERC1.00000Yes (1)$906$964,439
LHA PHYSICIAN SERVICES CORPORATION
818 RIVERSIDE AVEADRIANMI49221611451576PHYSICIAN BILLINGMIEMMA L BIXBY MEDICAL CENTERC1.00000Yes (1)-$44,391
PHYSICIANS ADVANTAGE MSO
5901 MONCLOVA RDMAUMEEOH43537061811760PHYSICIAN MANAGEMENT SERVICESOHPROMEDICA HEALTH SYSTEM INCC1.00000Yes (1)
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
5855 MONROE STSYLVANIAOH43560383322278PHYSICIAN HEALTH CARE SERVICESOHPROMEDICA PHYSICIAN GROUPC1.00000Yes (1)-$1,047,084$3,582,068
PROMEDICA INSURANCE CORP INC AND SUBSIDIARIES
1901 INDIAN WOOD CIRMAUMEEOH43537341570675HEALTH CARE INSURANCEOHPROMEDICA HEALTH SYSTEM INCC1.00000Yes (1)$76,588,676$344,035,035
PROMEDICA NORTH PHYSICIAN CORPORATION
5855 MONROE STSYLVANIAOH43560383482148PHYSICIAN HEALTH CARE SERVICESOHPROMEDICA PHYSICIAN GROUPC1.00000Yes (1)$203,340
PROMEDICA RETAIL GROUP INC
3890 MONROE STTOLEDOOH43606341159928FLORISTOHPROMEDICA PHYSICIANS AND CONTINUUM SERVICESC1.00000Yes (1)$485$1,016,984
HERRICK MEMORIAL OFFICE PLAZA CONDOMINIUM ASSOCIATION
818 RIVERSIDE AVEADRIANMI49221383639616FACILITY MANAGEMENTMIHERRICK MEMORIAL DEVELOPMENT CORPC0.71800Yes (1)$45$55,879
PROMEDICA HEALTH NETWORK INC
1801 RICHARDS RDTOLEDOOH43607474006496PHYSICIAN MANAGEMENT SERVICESOHPROMEDICA HEALTH SYSTEM INCC1.00000Yes (1)
MONROE HEALTH VENTURES
718 N MACOMBMONROEMI48164382704426PHARMACYMIMERCY MEMORIAL HOSPITAL CORPORATIONC1.00000Yes (1)
PROMEDICA MANAGER MEMBER LLC
1801 RICHARDS RDTOLEDOOH43607475168737REAL ESTATEOHPROMEDICA HEALTH SYSTEM INCC1.00000Yes (1)$9,536,974
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PROMEDICA HEALTH SYSTEM INC
B$3,000,000FMV
PROMEDICA FOUNDATION
B$211,682FMV
KAITLYN'S COTTAGE INC
B$180,000FMV
PROMEDICA PHYSICIAN GROUP
B$541,000FMV
PROMEDICA PHYSICIAN GROUP
J$632,724FMV
PROMEDICA PHYSICIAN GROUP
O$118,727FMV
THE TOLEDO HOSPITAL
P$1,152,096FMV
PROMEDICA COURIER SERVICES INC
P$87,384FMV
PROMEDICA HEALTH SYSTEM INC
P$8,766,620FMV
PROMEDICA PHYSICIAN GROUP
P$4,392,156FMV
PROMEDICA INSURANCE CORP INC & SUBSIDIARIES
P$174,874FMV